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KO'S WELLNESS INC. NPI 1528292745


NPI Information

NPI: 1528292745
Provider Name: KO'S WELLNESS INC.

Doing Business As: KO'S WELLNESS

Classification: Preferred Provider Organization - 305R00000X
Entity Type: Organization
Address:
1931 N GAFFEY ST
SUITE C
SAN PEDRO, CA
ZIP 90731
Phone: (310) 832-1424
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KO'S WELLNESS INC. is a preferred provider organization in San Pedro, CA. The provider is a group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. KO'S WELLNESS INC. NPI is 1528292745. The provider is registered as an organization entity type.
The provider Is Doing Business As Ko's Wellness.

The provider's business location address is:

1931 N GAFFEY ST
SUITE C
SAN PEDRO, CA
ZIP 90731-265
Phone: (310) 832-1424
Fax: (310) 832-1424

The provider's authorized official is Syngwan Ko .
The authorized official title is President and has the following contact phone number (310) 832-1424.

The enumeration date for this NPI number is 5/4/2009 and was last updated on 5/4/2009.


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
1305R00000XPreferred Provider Organization6239CALIFORNIAYes

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: 4/28/2024

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