# KOH MEDICAL INC

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

## Provider details

- **NPI number:** 1780086397
- **Authorized official:** HENRY KOH M.D. (PRESIDENT)
- **Authorized official phone:** (510) 213-1154

## Contact information

- **Practice address:** 350 HAWTHORNE AVE, OAKLAND, CA 94609-3108
- **Practice address phone:** (510) 213-1154
- **Mailing address:** 43523 PUESTA DEL SOL, FREMONT, CA 94539-5634
- **Mailing address phone:** (510) 213-1154

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | A117951 | CA | Yes |

## Other

- **Enumeration date:** 09/25/2014
- **Last updated:** 01/17/2015