Dong Hwan Koo in Cerritos - Clinical Child & Adolescent
Dong Hwan Koo - NPI 1124040720
Dong Hwan Koo is a Clinical Child & Adolescent in Cerritos, California. Dong Hwan Koo practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Dong Hwan Koo is 1124040720. The last update date is 2007-07-08.
Dong Hwan Koo's current location address is 10929 South St, Cerritos, California. You can contact this provider via phone number 5625695580 and fax number 5627769496. The mailing address for Dong Hwan Koo is 10929 South St, Cerritos, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dong Hwan Koo |
|---|---|
| Address | 10929 South St, Cerritos, California |
| Phone Number | 5625695580 |
| Fax Number | 5627769496 |
| Sole Proprietor | Y |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1124040720 |
|---|---|
| Provider Enumeration Date | 2006-07-24 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 10929 South St |
|---|---|
| City | Cerritos |
| State | California (CA) |
| Post Code | 907035340 |
| Phone Number | 5625695580 |
| Fax Number | 5627769496 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Child & Adolescent |
|---|---|
| Taxonomy | 103Tc2200X |
| Licence No | PSY19860 |
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Definition: A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Dong Hwan Koo by the Centers for Medicare & Medicaid Services?
The Dong Hwan Koo has been issued the NPI (National Provider Identifier) 1124040720 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Dong Hwan Koo's facilities are geographically located?
The facilities of Dong Hwan Koo are physically situated at the following location: 10929 South St, Cerritos, CA, 907035340.
What is Dong Hwan Koo's area of expertise and its corresponding taxonomy classification?
The Dong Hwan Koo's field of specialization is Clinical Child & Adolescent, and it falls under the taxonomy code 103Tc2200X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1124040720 assigned to Dong Hwan Koo?
The Dong Hwan Koo was issued its 1124040720 on 2006-07-24, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Dong Hwan Koo, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Dong Hwan Koo, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.