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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CASSIDY CARINA LIU KOO

Active

CASSIDY CARINA LIU KOO is a Family Medicine healthcare provider located in GRAND TERRACE, California. NPI 1497495535 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · GRAND TERRACE, CA

Registration Details

NPI Number
1497495535
Provider Type
Individual
Gender
Female
NPI Issued
Mar 29, 2022 (4.3544922271469 yrs)
Last Updated
Jul 15, 2025
License
190520 (CA)

Practice Information

Address
11980 MOUNT VERNON AVE
GRAND TERRACE, CA, 923135172
Browse CA providers · Browse ZIP 92313
Phone
9098641097
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in GRAND TERRACE, CA

Name Credential NPI
PHILIP THOMAS FARABAUGH MD 1285763615
DR. MARGARET KATHLEEN MCLEOD M.D. 1144472580
DR. SUKHDEEP K GILL M.D. 1881837813
DR. DINH LE QUANG NGUYEN M.D. 1750721692
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.