MARTHA B. KOO, M.D., LTD.
Ambulatory Health at Pacific Coast Hwy, Hermosa Beach, CA

License number
California G78080
Category
Ambulatory Health
Type
Adult Mental Health
Owner
Name: DR. MARTHA KOO M.D.
Title: PRESIDENT
Phone: (310) 318-2566
Address
Address 2
2615 Pacific Coast Hwy, Hermosa Beach, CA 90254
515 Larsson St, Manhattan Beach, CA 90266
National Provider ID: 1487848404
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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MARTHA B. KOO, M.D., LIMITED

515 Larsson St, Manhattan Beach, CA 90266

Industry:
Medical Doctor's Office
Doing business as:
Martha B. Koo, M.D., Ltd
Registration:
Jul 11, 1996
State ID:
C1787131
Business type:
Articles of Incorporation
Md Ltd , Principal, President:
Martha B. Koo (Md Ltd , Principal, President)
Agent:
Martha B Koo,Manhattan Beach, CA 90266 (Physical)

Ambulatory Health licenses in California

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