Jahoon Koo, MD | |
1700 Coffee Rd, Modesto, CA 95355 | |
(209) 579-5628 | |
(209) 579-5637 |
Full Name | Jahoon Koo |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 10 Years |
Location | 1700 Coffee Rd, Modesto, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871912519 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | A140169 (California) | Primary |
2086S0127X | Surgery - Trauma Surgery | A140169 (California) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Memorial Medical Center | Modesto, CA | Hospital |
Sutter Medical Center, Sacramento | Sacramento, CA | Hospital |
Sutter Amador Hospital | Jackson, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Surgical Associates Inc | 6002110814 | 15 |
Sutter Valley Medical Foundation | 9830094515 | 1919 |
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: 1552 Coffee Rd Ste 200, Modesto, CA 95355 Phone: 209-248-7168 Fax: 209-846-9641 | |
Matthew James Coates, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1552 Coffee Rd Ste 200, Modesto, CA 95355 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 |