Connor Scott Ko
Student in an Organized Health Care Education/Training Program in San Diego, CA. Individual provider (NPI-1).
NPI number1972307262
StatusActive
Last updated in NPPESJun 20, 2025
Details
- NPI
- 1972307262
- Entity type
- Individual (NPI-1)
- Name
- Connor Scott Ko
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 3, 2025
- Certification date
- Jun 20, 2025
- Last updated
- Jun 20, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
3020 Childrens Way # Mc5124San Diego, CA 92123-4223
Phone 858-966-6764
Mailing address
3020 Childrens Way # Mc5124San Diego, CA 92123-4223
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