Look up the most recent NPI and PECOS records

Jenny Koo

Pediatrics

Allopathic & Osteopathic Physicians

3003 Health Center Dr, San Diego, CA 92123-2700

PECOS Enrollment

Based on the most recent information from CMS, provider Jenny Koo is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 2:29 PM.

Profile Details

Provider ID
1851719413
Provider Type
Individual
Full Name
Koo, Jenny
Credential
M.D.

Gender
Female
Sole Proprietor
No
Enumeration Date
4/1/2014
Last Updated
5/20/2021

Contact Information

Practice Location

3003 Health Center Dr, San Diego, CA 92123-2700

(858) 939-4185

(858) 939-4972

Mailing Location

8555 Aero Dr Ste 340, San Diego, CA 92123-1740

(858) 939-4185

(858) 939-4972

Provider Taxonomies

Code	Description	License
Code 208000000X Primary	Description Pediatrics Allopathic & Osteopathic Physicians	License A139737 California
Code 2080N0001X	Description Pediatrics Allopathic & Osteopathic Physicians	License A139737 California

Jenny Koo

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Martinez-Andree, Ingrid L

Earley, Samantha Quinn

Patel, Umaben

Kaufhold, Marilyn Jean

Lee, Begem

Wu, Veda C

Kesanapalli Pediatrics Professional Medical Corporation

Manriquez-Castillo, Erendira

Kim, Jenny

Butler, April H.