SUSAN EUNSOO KOH
NPI 1730721697
Student in an Organized Health Care Education/Training Program in Alpine, CA

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since October 11, 2019

2120 ALPINE BLVD, ALPINE, CA 91901(619) 659-3188 Get Directions Write a Review

NPPES record last updated: October 11, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Susan Eunsoo Koh NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUSAN EUNSOO KOH (NPI 1730721697) is an individual student in an organized health care education/training program in Alpine, California and active in the NPI registry since October 2019.

NPPES Registry Identity

NPI1730721697

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameSUSAN EUNSOO KOH

Location Address2120 ALPINE BLVDAlpine, CA 91901-2113

Mailing Address2120 Alpine BlvdAlpine, CA 91901-2113 · (619) 659-3188

Phone(619) 659-3188

Sole ProprietorNo

Enumeration DateOctober 11, 2019

✔ NPI 1730721697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2120 ALPINE BLVD, Alpine, CA 91901

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