Organization
KOH MEDICAL INC
Active
Organization
KOH MEDICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HENRY KOH M.D. (PRESIDENT)
(510) 213-1154
Entity
Organization
Contact information
Practice address
350 HAWTHORNE AVE, OAKLAND, CA 94609-3108
(510) 213-1154
Mailing address
43523 PUESTA DEL SOL, FREMONT, CA 94539-5634
(510) 213-1154
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
A117951
CA
Other
Enumeration date
09/25/2014
Last updated
01/17/2015
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