NPI 1437709383

Gina Jung Eun Koo, OD

Practitioner Optometrist Van Nuys, CA

Practice location

Address: 6727 Sylmar Ave APT 209, Van Nuys, CA 91405-4703
Phone: (818) 405-6404

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 0618002819 (VA)

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Registry record

NPI: 1437709383
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Sep 2019
Record last updated: 2 Jun 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.