| Jahoon Koo, MD | |
|
1700 Coffee Rd, Modesto, CA 95355 | |
| (209) 579-5628 | |
| (209) 579-5637 |
| Full Name | Jahoon Koo |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 1700 Coffee Rd, Modesto, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871912519 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | A140169 (California) | Primary |
| 2086S0127X | Surgery - Trauma Surgery | A140169 (California) | Secondary |
| Entity Name | Sutter Valley Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669846986 PECOS PAC ID: 9830094515 Enrollment ID: O20090311000335 |
| Entity Name | Surgical Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366824161 PECOS PAC ID: 6002110814 Enrollment ID: O20160215001177 |
| Mailing Address | Practice Location Address |
|---|---|
| Jahoon Koo, MD 220 Standiford Ave Ste F, Modesto, CA 95350-1159 Ph: (209) 579-5628 | Jahoon Koo, MD 1700 Coffee Rd, Modesto, CA 95355 Ph: (209) 579-5628 |
Wei Loong Glenn Koh, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4601 Dale Rd, Suite 4a5, Modesto, CA 95356 Phone: 925-200-1811 | |
Shirley Rose Ramiscal Domingo, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1700 Coffee Rd, Modesto, CA 95355 Phone: 209-526-4500 | |
Calvin M Lee, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 2336 Sylvan Ave, Ste C, Modesto, CA 95355 Phone: 209-551-1888 Fax: 209-551-5662 | |
Dr. Patrick James Coates, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1001 Sylvan Ave Ste A, Modesto, CA 95350 Phone: 209-422-6120 | |
Matthew James Coates, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1001 Sylvan Ave Ste A, Modesto, CA 95350 Phone: 209-248-7168 Fax: 209-846-9641 | |
Dr. Tony Yuk Man Tam, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1700 Coffee Rd, Modesto, CA 95355 Phone: 209-579-5628 Fax: 209-579-5637 | |
Timothy A Davis, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1409 E Briggsmore Ave, Modesto, CA 95355 Phone: 209-550-4788 |