| Bobby Ko Md Inc | |
|
15217 Leffingwell Rd Whittier CA 90604 | |
| (562) 944-0307 | |
| (562) 944-0309 |
| Full Name | Bobby Ko Md Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 15217 Leffingwell Rd, Whittier, California |
| Authorized Official Name and Position | Bobby Chu Ko (PRES BOBBY KO MD & NC & 100 OWNER) |
| Authorized Official Contact | 5629440307 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bobby Ko Md Inc 15217 Leffingwell Rd Whittier CA 90604 Ph: (562) 944-0307 | Bobby Ko Md Inc 15217 Leffingwell Rd Whittier CA 90604 Ph: (562) 944-0307 |
| NPI Number | 1306938642 |
|---|---|
| Provider Enumeration Date | 09/28/2006 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 6507280385 |
|---|---|
| Medicare Enrollment ID | O20200727002188 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306938642 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | C037592 (California) | Primary |
| Provider Name | Bobby C Ko |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174621957 PECOS PAC ID: 5597957035 Enrollment ID: I20101004000111 |
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