Individual provider · Type 1 NPI

Cassidy Carina Liu Koo

Family Medicine Physician · Grand Terrace, CA

NPI number 1497495535 Active

Practice location

11980 Mount Vernon Ave
Grand Terrace, CA 92313-5172

Call (909) 864-1097 Map

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000X190520 (CA)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1497495535

Cassidy Carina Liu Koo's National Provider Identifier is 1497495535, issued on Mar 29, 2022. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Grand Terrace, CA. The record was last updated on Jul 15, 2025.