Provider Demographics
NPI:1295227593
Name:KOO, RHONDA LYNN (RDMS)
Entity Type:Individual
Prefix:
First Name:RHONDA
Middle Name:LYNN
Last Name:KOO
Suffix:
Gender:F
Credentials:RDMS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9089 CLAIREMONT MESA BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92123-1225
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:15506 STATE ROUTE 218
Practice Address - Street 2:
Practice Address - City:SCOTTOWN
Practice Address - State:OH
Practice Address - Zip Code:45678-9651
Practice Address - Country:US
Practice Address - Phone:740-861-1961
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-01
Last Update Date:2018-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471S1302XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistSonography