Young J. Ko, Md A Medical Corp | |
44215 15th St W Ste 303 Lancaster CA 93534-5505 | |
(661) 945-0723 | |
(661) 949-5740 |
Full Name | Young J. Ko, Md A Medical Corp |
---|---|
Speciality | Internal Medicine |
Location | 44215 15th St W Ste 303, Lancaster, California |
Authorized Official Name and Position | Young J Ko (CEO) |
Authorized Official Contact | 6619450724 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Young J. Ko, Md A Medical Corp 44215 15th St W Ste 303 Lancaster CA 93534-5505 Ph: (661) 945-0723 | Young J. Ko, Md A Medical Corp 44215 15th St W Ste 303 Lancaster CA 93534-5505 Ph: (661) 945-0723 |
NPI Number | 1891919700 |
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Provider Enumeration Date | 04/12/2007 |
Last Update Date | 04/20/2011 |
Medicare PECOS PAC ID | 8325118987 |
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Medicare Enrollment ID | O20080609000494 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891919700 | NPI | - | NPPES |
00A398140 | Medicaid | CA |
Provider Name | Young J Ko |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1639277130 PECOS PAC ID: 4880764448 Enrollment ID: I20080609000482 |
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