Jason R. Koh, D.O. Inc

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

20A10104 Issued in CA

Legal business name

JASON R. KOH, D.O. INC

Practice address

2840 Long Beach Blvd Ste 465
Long Beach, CA 90806-1594

Phone

(562) 595-0790

Fax

(562) 595-0839

NPI assigned

May 2, 2016

Organization subpart

No

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

Authorized official

Name

Jason Robert Koh, D.O.NPI 1639359946

Title

President

Phone

(562) 595-0790

Specialties & licenses 1

Addresses

Tax ID family

Jason R Koh DO2 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.

• Jason R Koh DO Inc

  • Physical Medicine & Rehabilitation Physician
  • Long Beach, CA
  • NPI 1447566799
  NPD tax ID

Locations

Practitioners 1

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

• Jason Robert Koh, D.O.

  • Physical Medicine & Rehabilitation Physician
  • Long Beach, CA
  • NPI 1639359946
  NPD Authorized official

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

{
    "created_epoch": "1462147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462147200000",
    "number": "1891140547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6771 WARNER AVE UNIT 3976",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926057041",
            "telephone_number": "562-595-0790",
            "fax_number": "562-595-0839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2840 LONG BEACH BLVD STE 465",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908061594",
            "telephone_number": "562-595-0790",
            "fax_number": "562-595-0839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON R. KOH, D.O. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-02",
        "last_updated": "2016-05-02",
        "status": "A",
        "authorized_official_last_name": "KOH",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-595-0790",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "20A10104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie Jarnutowski, M.S.; CF-SLP
• Tiffany Jarvis
• Jasmin Sidhu, MD Inc
• Jason Fletcher DO a Medical Group
• Jason R Koh DO Inc
• Priscila Jasso
• Elisa Jaster
• Marilynn Jauregui, BA
• Matthew Jaurequi, LMFT
• Tonya Madeline Javadi, MFT

• Physical Medicine & Rehabilitation Physician in Long Beach, CA
• Providers in Long Beach, 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 May 2, 2016; 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.