Caroline J Ko, DPM | |
975 Sereno Dr, Vallejo, CA 94589-2441 | |
(574) 850-1981 | |
Not Available |
Full Name | Caroline J Ko |
---|---|
Gender | Female |
Speciality | Podiatrist - Foot & Ankle Surgery |
Location | 975 Sereno Dr, Vallejo, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588126288 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0103X | Podiatrist - Foot & Ankle Surgery | 00000000 (California) | Primary |
Provider Name | Permanente Medical Group Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
---|---|
Caroline J Ko, DPM 6400 Christie Ave Apt 4104, Emeryville, CA 94608-1039 Ph: (574) 850-1981 | Caroline J Ko, DPM 975 Sereno Dr, Vallejo, CA 94589-2441 Ph: (574) 850-1981 |
Napa Solano Foot And Ankle Podiatrist Medicare: Medicare Enrolled Practice Location: 1460 N Camino Alto, Suite 101, Vallejo, CA 94589 Phone: 707-644-4049 Fax: 707-644-4687 | |
Ronald Delosreyes Paterno, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1000 | |
Dr. Monica Jung, Podiatrist Medicare: Medicare Enrolled Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1000 | |
Stephen Haynam, Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-3338 | |
Ninveh Omlin, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-5033 Fax: 707-651-3685 | |
Lance Vanwoy, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1000 | |
Nicholas Gan Tan, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 909-633-2881 |