| Martha B. Koo, M.d., Ltd. | |
|
2615 Pacific Coast Hwy 215 Hermosa Beach CA 90254-2225 | |
| (310) 318-2566 | |
| Not Available |
| Full Name | Martha B. Koo, M.d., Ltd. |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 2615 Pacific Coast Hwy, Hermosa Beach, California |
| Authorized Official Name and Position | Martha Koo (PRESIDENT) |
| Authorized Official Contact | 3103182566 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Martha B. Koo, M.d., Ltd. 515 Larsson St Manhattan Beach CA 90266-6734 Ph: (310) 318-2566 | Martha B. Koo, M.d., Ltd. 2615 Pacific Coast Hwy 215 Hermosa Beach CA 90254-2225 Ph: (310) 318-2566 |
| NPI Number | 1487848404 |
|---|---|
| Provider Enumeration Date | 09/03/2007 |
| Last Update Date | 09/03/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487848404 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | G78080 (California) | Primary |
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