Dr. Dong Hwan Koo
Clinical Child & Adolescent Psychologist
10929 South St Ste 202b
Cerritos
, California 90703-5340
Dr. Dong Hwan Koo
Clinical Child & Adolescent Psychologist
10929 South St Ste 202b
Cerritos
, California 90703-5340
(562) 776-9496
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About
Features
Specialties
- Clinical Child & Adolescent Psychologist
Languages spoken
- English
Location
First Address
- Dr. Dong Hwan Koo
- 10929 South St Ste 202b
- Cerritos, CA
- Zip : 90703-5340
- Fax : (562) 776-9496
- Phone : (562) 569-5580
Second Address
- Dr. Dong Hwan Koo
- 10929 South St Ste 202b
- Cerritos, CA
- Zip : 90703-5340
- Fax : (562) 776-9496
- Phone : (562) 569-5580
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TC2200X | Clinical Child & Adolescent Psychologist | PSY19860 | CA |
National Provider Identifier
| NPI | 1124040720 |
|---|---|
| Provider Name | Dr. Dong Hwan Koo |
| First Address | Cerritos, CA 90703-5340 |
| Second Address | Cerritos, CA 90703-5340 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/07/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.