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General NPI Number Information
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NPI Number | 1639216732
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Entity Type | Organization
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Legal Business Name | YONG-KYOO KOH, M.D., INC.
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Dates
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Enumeration Date | 01/30/2007
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Last Update Date | 12/13/2023
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Provider Practice Location Address
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Address Line | 500 S ANAHEIM HILLS RD
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City | ANAHEIM
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State | CA
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Zip | 92807-4780
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Country | US
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Telephone | 714-533-2020
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Fax |
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Provider Business Mailing Address
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Address Line | 4347 PORTAGE STREET NW SUITE 102
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City | NORTH CANTON
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State | OH
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Zip | 44720-7371
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Country | US
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Telephone | 714-319-0880
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Fax | 661-295-0862
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. YONG KYOO KOH
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Credential | M.D.
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Telephone | 714-319-0880
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | C50260
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License Number State | CA
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