Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SONG HOE KOO
ActiveSONG HOE KOO is a Periodontology healthcare provider located in DIAMOND BAR, California. NPI 1598924292 is currently active in the NPPES registry. Verify at CMS.
Periodontology · DIAMOND BAR, CA
Registration Details
- NPI Number
- 1598924292
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 6, 2008 (18.235867966031 yrs)
- Last Updated
- Sep 26, 2013
- License
-
51096 (CA)
Practice Information
- Address
-
2040 S BREA CANYON RDSTE #210DIAMOND BAR, CA, 91765Browse CA providers · Browse ZIP 91765
- Phone
- 9093960077
- Fax
- 9093960071
- Primary Specialty
-
Periodontology
1223P0300X
Other Periodontology Providers in DIAMOND BAR, CA
| Name | Credential | NPI |
|---|---|---|
| DR. JIN Y KIM | DDS, MPH, MS | 1396881041 |
| DR. GLENN HSUAN CHEN CHANG | D.D.S. | 1114191251 |
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.