CHOON SIL KOO (NPI# 1265427595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265427595 |
| Entity Type | Individual |
| Full Name | CHOON SIL KOO |
| Credential | M.D. |
| Practice Address |
999 San Bernardino Rd Upland CA 91786-4920 |
| Mailing Address |
Po Box 2311 Chatsworth CA 91313-2311 |
| Practice Telephone | 9099852811 |
| Practice Fax Number | 9099203827 |
| Mailing Telephone | 8187189500 |
| Mailing Fax Number | 8187189507 |
| Enumeration Date | 2005-09-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
A31561 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A315610 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457345894 | Choon Won Koo | Obstetrics & Gynecology | 760 S Washburn Ave, Ste 3a, Corena, CA 92882-3303 | 2005-08-31 |
| Street Address |
999 SAN BERNARDINO RD |
| City | UPLAND |
| State | CA |
| Zip Code | 91786-4920 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780681189 | San Antonio Regional Hospital | General Acute Care Hospital | 999 San Bernardino Rd, Upland, CA 91786-4920 | 2005-06-30 |
| 1922643931 | Angie Ling | Physician Assistant | 999 San Bernardino Rd, Upland, CA 91786-4920 | 2019-11-13 |
| 1326683582 | Wendy Karina Barreto II | General Practice | 999 San Bernardino Rd, Upland, CA 91786-4920 | 2019-11-12 |
| 1942843511 | Chen Liang | Physician Assistant | 999 San Bernardino Rd, Upland, CA 91786-4920 | 2019-10-25 |
| 1780225359 | Rebecca Ann Paquette | Registered Nurse | 999 San Bernardino Rd, Upland, CA 91786-4920 | 2019-10-03 |
| 1902378979 | Michael S Yeh | Physician Assistant | 999 San Bernardino Rd, Upland, CA 91786-4920 | 2019-01-01 |
| 1629563044 | Christine Le Dang | Nurse Practitioner | 999 San Bernardino Rd, Upland, CA 91786-4920 | 2018-06-27 |
| 1487169041 | Junghwa Kim | Pharmacist | 999 San Bernardino Rd, Upland, CA 91786-4920 | 2017-12-05 |
| 1790298958 | Sarah Shin | Physical Therapist | 999 San Bernardino Rd, Upland, CA 91786-4920 | 2017-11-09 |
| 1063922284 | Dulce R De Castro M D A Professional Corporation | Pathology | 999 San Bernardino Rd, Upland, CA 91786-4920 | 2017-10-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366093254 | California Clinics, Inc | Physical Medicine & Rehabilitation | 818 N Mountain Ave Ste 102, Upland, CA 91786 | 2019-09-23 |
| 1699231621 | Lynn Keitz | Nurse Practitioner | 360 East 7th Street, Suite D, Upland, CA 91786 | 2019-02-14 |
| 1003386608 | Devin A Lockett | Counselor | 916 N, Mountain Ave. Suite D-1, Upland, CA 91786 | 2018-11-27 |
| 1265900096 | Right Ride | Driver | 1023 West Arrow Hwy Apt A, Upland, CA 91786 | 2018-11-09 |
| 1689142069 | Mike Sedat Safi | Driver | 1023 W Arrow Hwy, Apt A, Upland, CA 91786 | 2018-11-05 |
| 1902373640 | Barsoum Dental | Dentist | 258 E. 9th Street, Upland, CA 91786 | 2018-10-31 |
| 1346736600 | Jennifer Lynn Henshaw | Counselor | Rosewood Counseling Center, 288 W 9th Street, Upland, CA 91786 | 2018-07-10 |
| 1972099521 | Sadeg Aldolaim | Nurse Practitioner | 2086 W Arrow Route, Apt 824, Upland, CA 91786 | 2018-07-06 |
| 1831607332 | Sandra Sun | Pharmacist | 1445 E. Foothill Blvd., Upland, CA 91786 | 2018-01-18 |
| 1841713625 | Dynamic Performance Physical Therapy Inc | Clinic/Center | 2377 W. Foothill Blvd, Ste 20, Upland, CA 91786 | 2017-07-24 |
| Find all providers in zip 91786 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063922284 | Dulce R De Castro M D A Professional Corporation | Pathology | 999 San Bernardino Rd, Upland, CA 91786-4920 | 2017-10-02 |
| 1881682615 | Health Access Network | Pathology | 1 Medical Center Blvd, Upland, PA 19013-3902 | 2005-10-06 |
| 1184612954 | Harvey B Spector | Pathology | 1 Medical Center Blvd, Upland, PA 19013-3902 | 2005-10-06 |
| 1790773588 | Nayere S Zaeri | Pathology | 1 Medical Center Blvd, Upland, PA 19013-3902 | 2005-10-06 |
| 1215925052 | Mark A Kaplan | Pathology | 1 Medical Center Blvd, Upland, PA 19013-3902 | 2005-10-06 |
| 1508851064 | Dulce R Decastro | Pathology | 999 San Bernardino Rd, Upland, CA 91786-4920 | 2005-09-12 |
| 1881689339 | Howard P Charman | Pathology | 999 San Bernardino Rd, Upland, CA 91786-4920 | 2005-09-12 |
| 1134113616 | Howard P. Charman, Md, Inc. | Pathology | 999 San Bernardino Rd, Upland, CA 91786-4920 | 2005-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063058170 | Paragon Diagnostics San Francisco | Pathology | 900 Hyde St Fl 1, San Francisco, CA 94109-4806 | 2019-11-24 |
| 1669034518 | Diagnostic Pathology Medical Group Inc | Pathology | 2801 K St Ste 235, Sacramento, CA 95816-5170 | 2019-07-01 |
| 1093277956 | Shajia Rahman Ansari | Pathology | 38558 Vancouver Cmn, Fremont, CA 94536-4056 | 2019-04-01 |
| 1831655158 | Rana Richeh | Pathology | 12 Spectrum Pointe Dr, Lake Forest, CA 92630-2242 | 2019-02-11 |
| 1710457510 | University of California Sfgh Medical Group | Pathology | 1001 Potrero Ave Rm 2m14, San Francisco, CA 94110-3518 | 2018-12-05 |
| 1770053233 | Samuel Jason Guzman | Pathology | 10026 Karmont Ave, South Gate, CA 90280-5417 | 2018-11-27 |
| 1144799750 | Penguin Medical Group, Inc | Pathology | 11 W Del Mar Blvd Ste 201, Pasadena, CA 91105-2593 | 2018-11-13 |
| 1023596731 | Uc San Diego, Pathology Dept | Pathology | East Campus Office Building, Medical Center Dr, San Diego, CA 92037 | 2018-08-03 |
| 1972080752 | Boris Shlopov Md Pathology Medical Corporation | Pathology | 800 S Main, Corona, CA 92882 | 2018-07-24 |
| 1902383920 | Ntr Resources, LLC | Pathology | 17433 Nordhoff, Northridge, CA 91325 | 2018-07-23 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.