Martha B. Koo, M.D., LTD.

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

G78080 Issued in CA

Legal business name

MARTHA B. KOO, M.D., LTD.

Practice address

2615 Pacific Coast Hwy
215
Hermosa Beach, CA 90254-2225

Phone

(310) 318-2566

NPI assigned

Sep 3, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Martha Koo, M.D.NPI 1497899728

Title

President

Phone

(310) 318-2566

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Martha Brewer Koo, M.D.

  • Psychiatry Physician
  • Hermosa Beach, CA
  • NPI 1497899728
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1188777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188777600000",
    "number": "1487848404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 LARSSON ST",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902666734",
            "telephone_number": "310-318-2566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 PACIFIC COAST HWY",
            "address_2": "215",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902542225",
            "telephone_number": "310-318-2566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTHA B. KOO, M.D., LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-03",
        "last_updated": "2007-09-03",
        "status": "A",
        "authorized_official_last_name": "KOO",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-318-2566",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "CA",
            "license": "G78080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Casey Manchester, MA CCC SLP
• Kelsey Mann, DPT, PT
• Marilisa Raju, PHD Psychologist, a Professional Corporation
• Alexis Ashley Maron, RDT, BCT
• Jenna Raquel Marshall
• Kimberly Martins, M.A.
• Elizabeth H Marushin, MFT
• Mary Jo Ford MD Inc
• Steven Richard Mason, PSY.D. PSYCHOLOGIST
• Julie Matheney, MS, CCC-SLP, CLEC

• Adult Mental Health Clinic/Center in Hermosa Beach, CA
• Providers in Hermosa Beach, CA by specialty
• Adult Mental Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.