Kyoo Sang Ro
Neurosurgeon
435 Arden Ave 380
Glendale
, California 91203-1130
Kyoo Sang Ro
Neurosurgeon
435 Arden Ave 380
Glendale
, California 91203-1130
(818) 240-8264
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About
Features
Specialties
- Neurosurgeon
Languages spoken
- English
Location
First Address
- Kyoo Sang Ro
- 435 Arden Ave Suite 380
- Glendale, CA
- Zip : 91203-1130
- Fax : (818) 240-8264
- Phone : (818) 240-5241
Second Address
- Kyoo Sang Ro
- 435 Arden Ave 380
- Glendale, CA
- Zip : 91203-1130
- Fax : (818) 240-8264
- Phone : (818) 240-5241
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207T00000X | Neurosurgeon | A26079A | CA |
National Provider Identifier
| NPI | 1083613897 |
|---|---|
| Provider Name | Kyoo Sang Ro |
| First Address | Glendale, CA 91203-1130 |
| Second Address | Glendale, CA 91203-1130 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/07/2005 |
| Last Update Date | 16/11/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00A26079 | (05) | CA |
| A83322 | (02) | CA |
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.