Koa Capital LTD, Inc.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

KOA CAPITAL LTD, INC.

Practice address

9665 Wilshire Blvd Ste 450
Beverly Hills, CA 90212-2446

Phone

(310) 247-8414

Fax

(310) 247-9414

NPI assigned

Sep 27, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Amanda Van Dyk, DPTNPI 1487674503

Title

Physical Therapist

Phone

(310) 968-2800

Specialties & licenses 1

Addresses

Other names 1

• Manual Therapy LA Doing business as

Tax ID family

Koa Capital LTD Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Koa Capital LTD, Inc.

  • Physical Therapy Clinic/Center
  • Encino, CA
  • NPI 1700427689
  NPD tax ID

Locations

Practitioners 2

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

• Amanda Van Dyk, D.P.T.

  • Physical Therapist
  • Encino, CA
  • NPI 1487674503
  NPD Authorized official
• Dorcas Joy Altman, DC

  • Chiropractor
  • Los Angeles, CA
  • NPI 1083006530
  NPD (past)

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

{
    "created_epoch": "1569542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574035200000",
    "number": "1740831908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5061 HASKELL AVE",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914361548",
            "telephone_number": "310-968-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9665 WILSHIRE BLVD STE 450",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902122446",
            "telephone_number": "310-247-8414",
            "fax_number": "310-247-9414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOA CAPITAL LTD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-27",
        "last_updated": "2019-11-18",
        "status": "A",
        "authorized_official_last_name": "VAN DYK",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "310-968-2800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Manual Therapy LA",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Manual Therapy LA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tamara L Kline, TAMARA KLINE, M.A.
• KMC Surgical Associates
• Kimberly Jorolan Knopf, DDS
• KNT Physical Therapy Inc.
• Klara Knypinski, LCSW
• Robert Koblin, M.D.
• John R Koegel, DPT
• Peter Koh, OD
• Guity Kohan-Zakay, RPH
• Emil Kohan, MD

• Physical Therapy Clinic/Center in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Physical Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2019; 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.