Organization Active NPI

Koba Psychological Services PC

  • Psychologist
  • Torrance, CA
National Provider Identifier
1992329627
Registry record updated May 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
KOBA PSYCHOLOGICAL SERVICES PC
Practice address
3812 Sepulveda Blvd
Torrance, CA 90505-2413
Phone
(310) 388-7770
NPI assigned
May 28, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2020

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

Authorized official

Name
Dr. Yulia Koba, PSYD
Title
President
Phone
(310) 498-5527

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

3812 Sepulveda Blvd
Torrance, CA 90505-2413

Mailing address

1613 Chestnut Ave
Manhattan Beach, CA 90266-5212
Phone (310) 498-5527

National Provider Directory

National Provider Directory

Locations

2309 Pacific Coast Hwy
Ste 202
Hermosa Beach, CA 90254
Phone (310) 388-7770

3812 Sepulveda Blvd
Torrance, CA 90505
Phone (310) 388-7770

3812 Sepulveda Blvd
Ste 460
Torrance, CA 90505
Phone (310) 388-7770

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1590624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590624000000",
    "number": "1992329627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1613 CHESTNUT AVE",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902665212",
            "telephone_number": "310-498-5527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3812 SEPULVEDA BLVD",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905052413",
            "telephone_number": "310-388-7770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOBA PSYCHOLOGICAL SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-28",
        "last_updated": "2020-05-28",
        "certification_date": "2020-05-28",
        "status": "A",
        "authorized_official_last_name": "KOBA",
        "authorized_official_first_name": "YULIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-498-5527",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2020; 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.