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JASMINE JAMIN KOO MD NPI 1144537606


NPI Information

NPI: 1144537606
Provider Name: JASMINE JAMIN KOO, MD
Classification: Radiology - 2085R0204X
Entity Type: Individual

Specialization: Vascular & Interventional Radiology

Organization: ELLISON MEDICAL GROUP VEIN TREATMENT CENTER

PECOS Registration: Yes

Address:
5330 CARROLL CANYON RD STE 140
SAN DIEGO, CA
ZIP 92121
Phone: (582) 950-5018
Get Directions

Jasmine Jamin Koo, MD is a vascular and interventional radiology radiology in San Diego, CA with 5 years of experience. The provider is a radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. Jasmine Jamin Koo, MD NPI is 1144537606. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: CHICAGO COLLEGE OF MEDICINE AND SURGERY
Graduation Year:2019

The provider's business location address is:

5330 CARROLL CANYON RD STE 140
SAN DIEGO, CA
ZIP 92121-758
Phone: (582) 950-5018

The NPI 1144537606 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/4/2010 and was last updated on 2/19/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0202XRadiologyDiagnostic RadiologyR4863TEXASNo
22085R0204XRadiologyVascular & Interventional RadiologyC164186CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.