Davis Y Koh, DPT, MBA, GCS, CSCS | |
9080 Irvine Center Dr, Irvine, CA 92618-4658 | |
(949) 540-5641 | |
Not Available |
Full Name | Davis Y Koh |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 25 Years |
Location | 9080 Irvine Center Dr, Irvine, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003840562 | NPI | - | NPPES |
PT0213060 | Other | CA | BLUE SHIELD |
P00197420 | Other | CA | RAILROAD MEDICARE |
PT0213060 | Medicaid | CA | |
PT21306 | Other | CA | STATE LICENSE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT21306 (California) | Primary |
Provider Name | Koh Physical Therapy, Inc. |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1144389701 PECOS PAC ID: 7517066178 Enrollment ID: O20070621000554 |
Provider Name | Integrative Physical Medicine Physicians |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1407486905 PECOS PAC ID: 0244645455 Enrollment ID: O20210222001788 |
Mailing Address | Practice Location Address |
---|---|
Davis Y Koh, DPT, MBA, GCS, CSCS 9080 Irvine Center Dr, Irvine, CA 92618-4658 Ph: (949) 540-5641 | Davis Y Koh, DPT, MBA, GCS, CSCS 9080 Irvine Center Dr, Irvine, CA 92618-4658 Ph: (949) 540-5641 |
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