Organization
KOH PHYSICAL THERAPY, INC.
Active
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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