DR. CHULHWE KOO M.D.
NPI 1588628408
Pediatrics in Riverside, CA
NPI Status: Active since April 17, 2006
Contact Information
3975 JACKSON ST
#305
RIVERSIDE, CA
ZIP 92503
Phone: (951) 352-5070
Fax: (951) 352-4241
- Individual
- Male
- Pediatrics
- CLIA Number: 05D0675773
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 08-31-2026
About CHULHWE KOO
This page provides the complete NPI Profile along with additional information for Chulhwe Koo, a pediatrician established in Riverside, California with a medical specialization in Pediatrics. The healthcare provider is registered in the NPI registry with number 1588628408 assigned on April 2006. The practitioner's primary taxonomy code is 208000000X with license number A45580 (CA). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1588628408
- Provider Name
- DR. CHULHWE KOO M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 3975 JACKSON ST #305 RIVERSIDE, CA 92503
- Location Phone
- (951) 352-5070
- Location Fax
- (951) 352-4241
- Mailing Address
- 3975 JACKSON ST #305 RIVERSIDE, CA 92503
- Mailing Phone
- (951) 352-5070
- Mailing Fax
- (951) 352-4241
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 04-17-2006
- Last Update Date
- 07-08-2007
- Code Navigator
A pediatrician like Chulhwe Koo is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics
- Taxonomy Code
- 208000000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- A45580
- License State
- CA
- Taxonomy Description
- A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00A455800 | MEDICAID (05) | CA |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 05D0675773
- Facility Type
- Physician Office
- Certificate Effective Date
- September 01, 2024
- Certificate Expiration Date
- August 31, 2026
- Laboratory Director
- CHULHUSE KOO
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Chulhwe Koo to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 5 | 8 | 8 | 6 | 2 | 8 | 4 | 0 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 16 | 8 | 12 | 2 | 16 | 4 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 1 + 6 + 8 + 1 + 2 + 2 + 1 + 6 + 4 + 0 + 24 = 62 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 62 = 8 | 8 | ||||||||
The NPI number 1588628408 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1912905191 | MAGNOLIA WOMEN'S CENTER Organization | Obstetrics & Gynecology | 3975 JACKSON ST STE 110 RIVERSIDE, CA 92503 (951) 351-1071 |
| 1063410280 | DR. NAYEEMA AHMED M.D. Individual | Obstetrics & Gynecology (Obstetrics) | 3975 JACKSON ST STE. #110 RIVERSIDE, CA 92503 (951) 351-1071 |
| 1376542852 | OK SUK KIM MD Individual | Obstetrics & Gynecology | 3975 JACKSON ST STE 110 RIVERSIDE, CA 92503 (951) 351-1071 |
| 1184667560 | DR. PETER Y CHANG MD Individual | Student in an Organized Health Care Education/Training Program | 3975 JACKSON ST SUITE 102 RIVERSIDE, CA 92503 (951) 359-0660 |
| 1265458301 | DR. ROGER TSUNG-YUN CHENG M.D. Individual | Internal Medicine | 3975 JACKSON ST SUITE 106 RIVERSIDE, CA 92503 (951) 354-2500 |
| 1689780843 | MRS. ANNETTE CONRAD MPA, MPT Individual | Physician Assistant | 3975 JACKSON ST RIVERSIDE, CA 92503 (951) 352-2092 |
| 1396831145 | DR. JUDITH M BEDOY M.D Individual | Pediatrics | 3975 JACKSON ST STE 207 RIVERSIDE, CA 92503 (951) 352-2092 |
| 1093894941 | DR. FREDDIE DIAL M.D., FACE Individual | Internal Medicine (Endocrinology, Diabetes & Metabolism) | 3975 JACKSON ST STE. 200 RIVERSIDE, CA 92503 (951) 353-2769 |
| 1609908193 | SHAHPER KHALID M.D. Individual | Obstetrics & Gynecology | 3975 JACKSON ST SUITE 209 RIVERSIDE, CA 92503 (951) 352-8598 |
| 1063628386 | SUDHA MOOLA MD Individual | Obstetrics & Gynecology | 3975 JACKSON ST SUITE #208 RIVERSIDE, CA 92503 (951) 732-7834 |
| 1265621114 | PETER Y. CHANG, M.D., PH.D., INC. Organization | Student in an Organized Health Care Education/Training Program | 3975 JACKSON ST SUITE 102 RIVERSIDE, CA 92503 (951) 359-0660 |
| 1013198456 | INLAND EAR, HEAD & NECK CLINIC Organization | Otolaryngology | 3975 JACKSON ST STE. 202 RIVERSIDE, CA 92503 (951) 352-7920 |
| 1164608295 | JOHN L COON MD INC Organization | Specialist | 3975 JACKSON ST SUITE 201 RIVERSIDE, CA 92503 (951) 687-9400 |
| 1265610737 | JOSEPH K KU MD, A PROFESSIONAL CORPORATION Organization | Surgery (Plastic and Reconstructive Surgery) | 3975 JACKSON ST SUITE 205 RIVERSIDE, CA 92503 (951) 687-1162 |
| 1194974972 | THE CHILDREN'S DOCTOR PROFESSIONAL CORPORATION Organization | Pediatrics | 3975 JACKSON ST SUITE 207 RIVERSIDE, CA 92503 (951) 352-2092 |
| 1346556107 | MI CARE INC Organization | Family Medicine | 3975 JACKSON ST #206 RIVERSIDE, CA 92503 (951) 588-7685 |
| 1427318781 | SUDHA MOOLA MD INC Organization | Obstetrics & Gynecology | 3975 JACKSON ST 208 RIVERSIDE, CA 92503 (951) 732-7834 |
| 1407163942 | RIVERSIDE FAMILY PHYSICIANS Organization | Non-Pharmacy Dispensing Site | 3975 JACKSON ST 301 RIVERSIDE, CA 92503 (951) 781-6335 |
| 1639135098 | DR. AMY LEE MD, FACE, FACGS Individual | Internal Medicine | 3975 JACKSON ST SUITE 105 RIVERSIDE, CA 92503 (951) 343-3388 |
| 1427496603 | MR. BONGKYU NAM LAC Individual | Acupuncturist | 3975 JACKSON ST SUITE 209 RIVERSIDE, CA 92503 (951) 351-2377 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1588628408, enumerated in the NPI registry as an "individual" on April 17, 2006
The provider is located at 3975 Jackson St #305 Riverside, Ca 92503 and the phone number is (951) 352-5070
The provider's speciality is Pediatrics with taxonomy code 208000000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 05D0675773 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on April 17, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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