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Search › California › 1223P0300X

Song Koo

NPI 1598924292 · on the registry since 2008

Practice

Address
2040 S Brea Canyon Rd
Ste #210
Diamond Bar, CA 91765
Phone
(909) 396-0077
Fax
(909) 396-0071
Organisation at this address
Diamond Bar Dental Group
Global Mother Care Group Inc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
1223P0300X
1223P0300X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2013-09-26

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