Ja Chang Koo DDS

NPI 1659401800 - Dentist - 1223G0001X

NPI Details
NPI 1659401800
Gender Male
Enumeration Date 03/06/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
2900 W 8TH ST
LOS ANGELES CA, 90005-1524, US
Phone (213) 386-1918
Fax
Business Location
2900 W 8TH ST
LOS ANGELES CA, 90005-1524, US
Phone (213) 386-1918
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State California
License Number B37851-01
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According to our database, Dr. Ja Chang Koo DDS NPI is 1659401800, taxonomy code is 1223G0001X and license number is B37851-01, license state is located at California. Ja Chang Koo DDS physically located at 2900 W 8th St, Los Angeles CA, 90005-1524. NPI Number Ja Chang Koo DDS has the Individual type.

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1659401800 NPI number is provided on an as is basis without warranty of any kind. 1659401800 is maintained by the National Plan & Provider Enumeration System. The contents of Ja Chang Koo DDS are for informational purposes only.