Koh Medical Inc

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

A117951 Issued in CA

Legal business name

KOH MEDICAL INC

Practice address

350 Hawthorne Ave
Oakland, CA 94609-3108

Phone

(510) 213-1154

NPI assigned

Sep 25, 2014

Organization subpart

No

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

Authorized official

Name

Henry Koh, M.D.NPI 1356654446

Title

President

Phone

(510) 213-1154

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Henry Koh, MD

  • Physical Medicine & Rehabilitation Physician
  • Oakland, CA
  • NPI 1356654446
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1411603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421452800000",
    "number": "1780086397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43523 PUESTA DEL SOL",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945395634",
            "telephone_number": "510-213-1154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 HAWTHORNE AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093108",
            "telephone_number": "510-213-1154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOH MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-25",
        "last_updated": "2015-01-17",
        "status": "A",
        "authorized_official_last_name": "KOH",
        "authorized_official_first_name": "HENRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-213-1154",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "A117951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Nyleen Koebele, DPT
• Justin Koenig, DPT
• Lisa Koenig, D.C.
• Benjamin Koerner
• Raisa Kogan
• Henry Koh, MD
• Francis P. Kohrs, MD
• Carolyn Mariru Kojima, ACSW
• Emmy Kolanz, DPT
• Sai Sriya Kolli, MD

• Physical Medicine & Rehabilitation Physician in Oakland, CA
• Providers in Oakland, CA by specialty
• Physical Medicine & Rehabilitation Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.