Ker Yong Justine Koh MD a Professional Corporation

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

C140941 Issued in CA

Legal business name

KER YONG JUSTINE KOH MD A PROFESSIONAL CORPORATION

Practice address

1441 Florida Ave
Modesto, CA 95350-4405

Phone

(209) 576-3514

Fax

(559) 436-5221

NPI assigned

Jun 1, 2017

Last updated

Jun 1, 2017By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ker Yong Justine Koh, MD

Title

President

Phone

(559) 436-0871

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1496275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1496275200000",
    "number": "1710415955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 28128",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937298128",
            "telephone_number": "559-436-0871",
            "fax_number": "559-436-5221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 FLORIDA AVE",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953504405",
            "telephone_number": "209-576-3514",
            "fax_number": "559-436-5221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KER YONG JUSTINE KOH MD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-01",
        "last_updated": "2017-06-01",
        "status": "A",
        "authorized_official_last_name": "KOH",
        "authorized_official_first_name": "KER YONG",
        "authorized_official_middle_name": "JUSTINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-436-0871",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "C140941",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1083775787",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kenneth D Thompson DDS Inc
• Jennifer Jo'L Kennon
• Christine Kenyon
• Erik L. Kenyon, DPM
• Katie Keo
• Mike Kerr, RN
• Robyn Kerr, LPT
• Alan E Kersey, PHARM.D.
• Abel Ketema, MD
• June Keusch

• Anesthesiology Physician in Modesto, CA
• Providers in Modesto, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.