Individual
JUSTIN KOH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
18370 BURBANK BLVD STE 100, TARZANA, CA 91356-2818
(424) 314-7630
Mailing address
725 ALBANY ST, SHAPIRO, SUITE 4B, BOSTON, MA 02118-2526
(617) 638-8934
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
268697
MA
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
A185882
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
03/29/2016
Last updated
12/12/2023
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