Active NPI
Neuro Wellness Spa, a Medical PC
Doing business as Neuro Wellness Spa
- Psychiatry Physician
- Manhattan Beach, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- G78080
- Legal business name
- NEURO WELLNESS SPA, A MEDICAL PC
- Doing business as
- Neuro Wellness Spa
- Practice address
- 1101 N Sepulveda Blvd Ste 201
Manhattan Beach, CA 90266-5963 - Phone
- (310) 545-4450
- Fax
- (424) 423-0204
- NPI assigned
- Jul 31, 2018
- Last updated
- Oct 30, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Martha Koo, MD
- Title
- Cmo
- Phone
- (877) 847-3984
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | |||
| Marriage & Family Therapist | 106H00000X | |||
| Psychiatry Physician | 2084P0800X | G78080 | CA | Primary |
| Child & Adolescent Psychiatry Physician | 2084P0804X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X |
Addresses
Primary practice location
1101 N Sepulveda Blvd Ste 201
Manhattan Beach, CA 90266-5963
Mailing address
18119 Prairie Ave
Torrance, CA 90504-3739
Phone (877) 847-3984
Other practice location 1
1000 Texas St Ste G
Fairfield, CA 94533-5700
Phone (877) 847-3984
Other practice location 2
1777 Hamilton Ave Ste 2140
San Jose, CA 95125-5421
Phone (877) 847-3984
Other practice location 3
5743 Corsa Ave Ste 107
Westlake Village, CA 91362-6474
Phone (877) 847-3984
Other practice location 4
7777 Alvarado Rd Ste 408B
LA Mesa, CA 91942-8248
Phone (877) 847-3984
Other practice location 5
2656 29th St Ste 202
Santa Monica, CA 90405-2984
Phone (877) 847-3984
Other practice location 6
5838 E Naples Plz
Long Beach, CA 90803-5039
Phone (877) 847-3984
Other practice location 7
13400 Washington Blvd Ste 105
Marina Del Rey, CA 90292-5632
Phone (877) 847-3984
Other practice location 8
3600 Lomita Blvd Ste 200
Torrance, CA 90505-3900
Phone (310) 545-4450
Other practice location 9
350 S Lake Ave Ste 260
Pasadena, CA 91101-3530
Phone (877) 847-3984
Other practice location 10
200 Newport Center Dr Ste 111
Newport Beach, CA 92660-7502
Phone (877) 847-3984
Other practice location 11
764 P St Ste 19
Fresno, CA 93721-2741
Phone (877) 847-3984
Other practice location 12
475 S State College Blvd
Brea, CA 92821-5726
Phone (877) 847-3984
Other practice location 13
22706 Aspan St Ste 501
Lake Forest, CA 92630-1603
Phone (877) 847-3984
Other practice location 14
8383 Wilshire Blvd Ste 520
Beverly Hills, CA 90211-2437
Phone (877) 847-3984
Other practice location 15
1101 N Sepulveda Blvd Ste 202
Manhattan Beach, CA 90266-5963
Phone (877) 847-3984
Other practice location 16
18411 Crenshaw Blvd Ste 360
Torrance, CA 90504-5060
Phone (877) 847-3984
Other practice location 17
37 Creek Rd Ste 140
Irvine, CA 92604-4724
Phone (877) 847-3984
Other practice location 18
18411 Crenshaw Blvd Ste 320
Torrance, CA 90504-5044
Phone (877) 847-3984
Other practice location 19
16530 Ventura Blvd Ste 625
Encino, CA 91436-5009
Phone (877) 847-3984
Other practice location 20
3400 Inland Empire Blvd Ste 101
Ontario, CA 91764-5577
Phone (877) 847-3984
Other practice location 21
6850 Brockton Ave Ste 209
Riverside, CA 92506-3815
Phone (877) 847-3984
Other names 1
- Neuro Wellness Spa
National Provider Directory
National Provider DirectoryLocations
8383 Wilshire Blvd
Ste 520
Beverly Hills, CA 90211
16530 Ventura Blvd
Ste 625
Encino, CA 91436
764 P St
Ste 19
Fresno, CA 93721
22706 Aspan St
Ste 501
Lake Forest, CA 92630
Phone (949) 565-4138
5838 E Naples Plz
Long Beach, CA 90803
Phone (877) 624-1427
1011 N Sepulveda Blvd Ste 202
Manhattan Beach, CA 90266
1101 N Sepulveda Blvd
Ste 201
Manhattan Beach, CA 90266
Phone (310) 545-4450
13400 Washington Blvd
Ste 105
Marina del Rey, CA 90292
Phone (310) 200-8957
350 S Lake Ave
Ste 260
Pasadena, CA 91101
Phone (424) 352-3633
2656 29th St
Ste 202
Santa Monica, CA 90405
Phone (310) 503-0221
18411 Crenshaw Blvd
Ste 320
Torrance, CA 90504
Phone (213) 268-5337
18411 Crenshaw Blvd
Ste 360
Torrance, CA 90504
Phone (213) 340-2613
3600 Lomita Blvd
Ste 200
Torrance, CA 90505
Phone (310) 545-4450
5743 Corsa Ave
Ste 107
Westlake Village, CA 91362
Practitioners & affiliated clinicians
Practitioners 54
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychiatry Physician
- Hermosa Beach, CA
- NPI 1497899728
-
- Psychiatric/Mental Health Nurse Practitioner
- Marina del Rey, CA
- NPI 1487425872
-
- Psychiatric/Mental Health Nurse Practitioner
- Costa Mesa, CA
- NPI 1093310997
Multi-Specialty
-
- Nurse Practitioner
- Los Angeles, CA
- NPI 1699510719
Psychiatric/Mental Health
-
- Marriage & Family Therapist
- Los Angeles, CA
- NPI 1518449735
-
- Marriage & Family Therapist
- Anaheim, CA
- NPI 1427759810
-
- Psychiatry Physician
- Torrance, CA
- NPI 1033536073
-
- Marriage & Family Therapist
- Long Beach, CA
- NPI 1831714047
-
- Mental Health Counselor
- Inglewood, CA
- NPI 1508477019
-
- Psychiatric/Mental Health Nurse Practitioner
- Manhattan Beach, CA
- NPI 1831883008
-
- Psychiatric/Mental Health Nurse Practitioner
- Manhattan Beach, CA
- NPI 1093341414
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532995200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1793318400000",
"number": "1003394149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18119 PRAIRIE AVE",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905043739",
"telephone_number": "877-847-3984",
"fax_number": "424-423-0204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 N SEPULVEDA BLVD STE 201",
"city": "MANHATTAN BEACH",
"state": "CA",
"postal_code": "902665963",
"telephone_number": "310-545-4450",
"fax_number": "424-423-0204"
}
],
"practiceLocations": [
{
"address_1": "1000 Texas St Ste G",
"address_purpose": "LOCATION",
"city": "Fairfield",
"state": "CA",
"postal_code": "945335700",
"country_code": "US",
"telephone_number": "877-847-3984",
"fax_number": "424-423-0204",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1777 Hamilton Ave Ste 2140",
"address_purpose": "LOCATION",
"city": "San Jose",
"state": "CA",
"postal_code": "951255421",
"country_code": "US",
"telephone_number": "877-847-3984",
"fax_number": "424-423-0204",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5743 Corsa Ave Ste 107",
"address_purpose": "LOCATION",
"city": "Westlake Village",
"state": "CA",
"postal_code": "913626474",
"country_code": "US",
"telephone_number": "877-847-3984",
"fax_number": "424-423-0204",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7777 Alvarado Rd Ste 408B",
"address_purpose": "LOCATION",
"city": "LA Mesa",
"state": "CA",
"postal_code": "919428248",
"country_code": "US",
"telephone_number": "877-847-3984",
"fax_number": "424-423-0204",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2656 29th St Ste 202",
"address_purpose": "LOCATION",
"city": "Santa Monica",
"state": "CA",
"postal_code": "904052984",
"country_code": "US",
"telephone_number": "877-847-3984",
"fax_number": "424-423-0204",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5838 E Naples Plz",
"address_purpose": "LOCATION",
"city": "Long Beach",
"state": "CA",
"postal_code": "908035039",
"country_code": "US",
"telephone_number": "877-847-3984",
"fax_number": "424-423-0204",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "13400 Washington Blvd Ste 105",
"address_purpose": "LOCATION",
"city": "Marina Del Rey",
"state": "CA",
"postal_code": "902925632",
"country_code": "US",
"telephone_number": "877-847-3984",
"fax_number": "424-423-0204",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3600 Lomita Blvd Ste 200",
"address_purpose": "LOCATION",
"city": "Torrance",
"state": "CA",
"postal_code": "905053900",
"country_code": "US",
"telephone_number": "310-545-4450",
"fax_number": "424-423-0204",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "350 S Lake Ave Ste 260",
"address_purpose": "LOCATION",
"city": "Pasadena",
"state": "CA",
"postal_code": "911013530",
"country_code": "US",
"telephone_number": "877-847-3984",
"fax_number": "424-423-0204",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "200 Newport Center Dr Ste 111",
"address_purpose": "LOCATION",
"city": "Newport Beach",
"state": "CA",
"postal_code": "926607502",
"country_code": "US",
"telephone_number": "877-847-3984",
"fax_number": "424-423-0204",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "764 P St Ste 19",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937212741",
"country_code": "US",
"telephone_number": "877-847-3984",
"fax_number": "424-423-0204",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "475 S State College Blvd",
"address_purpose": "LOCATION",
"city": "Brea",
"state": "CA",
"postal_code": "928215726",
"country_code": "US",
"telephone_number": "877-847-3984",
"fax_number": "424-423-0204",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "22706 Aspan St Ste 501",
"address_purpose": "LOCATION",
"city": "Lake Forest",
"state": "CA",
"postal_code": "926301603",
"country_code": "US",
"telephone_number": "877-847-3984",
"fax_number": "424-423-0204",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8383 Wilshire Blvd Ste 520",
"address_purpose": "LOCATION",
"city": "Beverly Hills",
"state": "CA",
"postal_code": "902112437",
"country_code": "US",
"telephone_number": "877-847-3984",
"fax_number": "424-423-0204",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1101 N Sepulveda Blvd Ste 202",
"address_purpose": "LOCATION",
"city": "Manhattan Beach",
"state": "CA",
"postal_code": "902665963",
"country_code": "US",
"telephone_number": "877-847-3984",
"fax_number": "424-423-0204",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "18411 Crenshaw Blvd Ste 360",
"address_purpose": "LOCATION",
"city": "Torrance",
"state": "CA",
"postal_code": "905045060",
"country_code": "US",
"telephone_number": "877-847-3984",
"fax_number": "424-423-0204",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "37 Creek Rd Ste 140",
"address_purpose": "LOCATION",
"city": "Irvine",
"state": "CA",
"postal_code": "926044724",
"country_code": "US",
"telephone_number": "877-847-3984",
"fax_number": "424-423-0204",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "18411 Crenshaw Blvd Ste 320",
"address_purpose": "LOCATION",
"city": "Torrance",
"state": "CA",
"postal_code": "905045044",
"country_code": "US",
"telephone_number": "877-847-3984",
"fax_number": "424-423-0204",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "16530 Ventura Blvd Ste 625",
"address_purpose": "LOCATION",
"city": "Encino",
"state": "CA",
"postal_code": "914365009",
"country_code": "US",
"telephone_number": "877-847-3984",
"fax_number": "424-423-0204",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3400 Inland Empire Blvd Ste 101",
"address_purpose": "LOCATION",
"city": "Ontario",
"state": "CA",
"postal_code": "917645577",
"country_code": "US",
"telephone_number": "877-847-3984",
"fax_number": "424-423-0204",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6850 Brockton Ave Ste 209",
"address_purpose": "LOCATION",
"city": "Riverside",
"state": "CA",
"postal_code": "925063815",
"country_code": "US",
"telephone_number": "877-847-3984",
"fax_number": "424-423-0204",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "NEURO WELLNESS SPA, A MEDICAL PC",
"organizational_subpart": "NO",
"enumeration_date": "2018-07-31",
"last_updated": "2026-10-30",
"certification_date": "2026-10-30",
"status": "A",
"authorized_official_last_name": "KOO",
"authorized_official_first_name": "MARTHA",
"authorized_official_title_or_position": "CMO",
"authorized_official_telephone_number": "877-847-3984",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "G78080",
"primary": true
},
{
"code": "2084P0804X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Neuro Wellness Spa",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Manhattan Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.