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DERRICK KOO MD

Individual Provider (NPI-1) Active

Provider Information

NPI Number
1902984495
Provider Type
Individual Provider (NPI-1)
Credentials
MD
Status
Active

Contact & Location

Address
504 GIBSON DR, ROSEVILLE, CA, 956785799
Phone
(916) 771-2871
Fax
(916) 771-2841

Specialties & Taxonomies

Unknown Primary License: CA #A86734

All Addresses

LOCATION

504 GIBSON DR

ROSEVILLE, CA, 956785799

(916) 771-2871

MAILING

1800 HARRISON ST FL 7

OAKLAND, CA, 946123466

(510) 625-6262