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General NPI Number Information
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NPI Number | 1437170990
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Entity Type | Individual
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Provider Name | ANDREW C KO M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/21/2006
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Last Update Date | 07/30/2025
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Provider Practice Location Address
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Address Line | 16671 EAST YORBA LINDA BLVD STE 210
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City | YORBA LINDA
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State | CA
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Zip | 92886
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Country | US
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Telephone | 714-996-3700
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Fax | 714-985-6480
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Provider Business Mailing Address
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Address Line | 28081 MARGUERITE PKWY UNIT 2028
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City | MISSION VIEJO
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State | CA
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Zip | 92690-0028
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Country | US
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Telephone | 949-342-6111
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | G61260
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License Number State | CA
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