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Search › California › 163WC1500X

Jajin Koo

NPI 1366800245 · on the registry since 2016

Practice

Address
1601 E Hazelton Ave
Stockton, CA 95205
Phone
(209) 468-3828
Fax
(209) 468-8222
Organisation at this address
County Of San Joaquin
Public Health Services
San Joaquin County Health Clinic
San Joaquin County Public Health Waiver
San Joaquin County Public Health Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address
18

Registry record

Primary taxonomy
163WC1500X
163WC1500X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-02-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California