Dr Susan T Koo, MD | |
8626 Lower Sacramento Rd Ste 41, Stockton, CA 95210-1835 | |
(209) 478-2487 | |
Not Available |
Full Name | Dr Susan T Koo |
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Gender | Female |
Speciality | Anesthesiology - Addiction Medicine |
Location | 8626 Lower Sacramento Rd Ste 41, Stockton, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1386173698 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207LA0401X | Anesthesiology - Addiction Medicine | A87500 (California) | Primary |
Entity Name | Vital Total Health Medical Group, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386107928 PECOS PAC ID: 7911234356 Enrollment ID: O20190808001266 |
Mailing Address | Practice Location Address |
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Dr Susan T Koo, MD 548 Duncan St # 201, San Francisco, CA 94131-1928 Ph: (415) 672-2669 | Dr Susan T Koo, MD 8626 Lower Sacramento Rd Ste 41, Stockton, CA 95210-1835 Ph: (209) 478-2487 |
Juan Fernando Sarti, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2545 West Hammer Lane, Stockton, CA 95209 Phone: 209-957-7050 | |
Phillip N Ruhl, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 525 W Acacia St, Stockton, CA 95203 Phone: 209-944-5550 | |
Dr. Zhiqiang Wang, M.D., PH.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 123 S Commerce St Ste E, Stockton, CA 95202 Phone: 650-492-0118 | |
Chase Rogers, DO Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1800 N California St, Stockton, CA 95204 Phone: 209-574-5941 | |
Gary A Schenck Jr., MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1801 E March Ln Ste 360, Stockton, CA 95210 Phone: 209-951-1178 | |
Robert Stump, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2626 N California St, Suite G, Stockton, CA 95204 Phone: 209-464-9846 Fax: 209-464-4082 | |
Xudong Luan, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 7373 West Ln, Stockton, CA 95210 Phone: 209-476-2000 |