# JASON R KOH DO INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447566799
- **Authorized official:** DR. JASON R KOH D.O. (DO)
- **Authorized official phone:** (626) 590-9447

## Contact information

- **Practice address:** 2840 LONG BEACH BLVD STE 465, LONG BEACH, CA 90806-1594
- **Practice address phone:** (562) 595-0790
- **Mailing address:** PO BOX 3976, HUNTINGTON BEACH, CA 92605-3976
- **Mailing address phone:** (626) 590-9447

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 20A10104 | CA | Yes |

## Other

- **Enumeration date:** 08/24/2010
- **Last updated:** 03/25/2024