EDEN KOO


Address: 1013 Waieli St, Honolulu, HI 96821-1242
Phone: 8087223018

EDEN KOO (NPI# 1922633163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1922633163
Entity Type Individual
Full Name EDEN KOO
Practice Address 1013 Waieli St
Honolulu
HI 96821-1242
Practice Telephone 8087223018
Enumeration Date 2020-03-09
Last Update Date 2020-03-09
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 1013 WAIELI ST
City HONOLULU
State HI
Zip Code 96821-1242

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1598318537 Althea Gatto Massage Therapist Orthosport 5722 Kalaniana'ole Hwy, Honolulu, HI 96821 2019-07-18
1942641113 Jin Yoo Dentist 850 W Hind Dr Ste 115, Honolulu, HI 96821 2013-07-16
1336410158 Hideu Oshiro Otolaryngology 1423 Ihiloa Loop, Honolulu, HI 96821 2012-01-25
1841512720 Ihww, Inc. Internal Medicine 850 W. Hind Dr # 117, Honolulu, HI 96821 2010-02-19
1588804959 Kimberlee Kunichika Psychologist 850 W Hind Dr Ste 110, Honolulu, HI 96821 2009-02-25
1518112333 Carol Ann Kiyoko Howsley Chiropractor 906-a Hind Iuka Dr., Honolulu, HI 96821 2008-11-20
1093997009 Catherine Adams Burton Psychologist 1599 Kalaniuka Pl, Honolulu, HI 96821 2007-11-30
1447343132 Robert Damien Makiya Physical Therapist 4603 Aliikoa Street, (works From Patient's Home), Honolulu, HI 96821 2006-10-02
1245338318 Rayna M Ling-hawkins Physical Therapist 850 West Hind Drive, #201, Honolulu, HI 96821 2006-09-20
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Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1174132336 Da Eun Suh Student in an Organized Health Care Education/Training Program 2350 Dole St # C400, Honolulu, HI 96822-2410 2020-07-23
1629697347 Ryan Yee Student in an Organized Health Care Education/Training Program 4133 Paloma Pl, Honolulu, HI 96816-3931 2020-04-13
1558997510 Ashley-anne Feria Makaula Student in an Organized Health Care Education/Training Program 520 Lunalilo Home Rd Unit 255, Honolulu, HI 96825-1721 2020-03-20
1215574090 Celeste C Ashimine Student in an Organized Health Care Education/Training Program 694 Aipo St, Honolulu, HI 96825-2445 2019-11-29
1316408446 Yuree Namkung Student in an Organized Health Care Education/Training Program 2229 N. School St., Honolulu, HI 96819-2588 2019-03-29
1073073482 Rachel Lee Student in an Organized Health Care Education/Training Program 1670 Makaloa St Ste 202, Honolulu, HI 96814-3232 2019-03-21
1851850853 Laylah Rose Zelko Student in an Organized Health Care Education/Training Program 1630 Lusitana St Apt C, Honolulu, HI 96813-1625 2019-03-19
1699249904 Kathreece Farrales Student in an Organized Health Care Education/Training Program 4110 Napali Pl, Honolulu, HI 96816-4312 2019-01-20
1861993131 Victoria Alexandra Maxon Student in an Organized Health Care Education/Training Program 1 Jarret Wright Rd, Tripler Army Medical Center, Honolulu, HI 96859-5001 2018-02-22
1669988184 Emma Natsumi Connelly Student in an Organized Health Care Education/Training Program 3323 Hayden St, Honolulu, HI 96815-4378 2017-12-20
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Competitor

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City HONOLULU
Zip Code 96821

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Dataset Information

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.

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