Organization
KOH PHYSICAL THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVIS Y. KOH DPT, MBA, GCS, CSCS (PHYSICAL THERAPIST)
(949) 540-5641
Entity
Organization
Contact information
Practice address
9080 IRVINE CENTER DR, IRVINE, CA 92618-4658
(949) 540-5641
(949) 540-5642
Mailing address
9080 IRVINE CENTER DR, IRVINE, CA 92618-4658
(949) 540-5641
(949) 540-5642
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT21306
CA
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00197420
RAILROAD MEDICARE
CA
05
—
PT0213060
—
CA
01
—
ZZZ69559Z
BLUE SHIELD
CA
Enumeration date
12/08/2006
Last updated
09/11/2023
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