Organization · Type 2 NPI

Koa Capital Ltd, Inc.

Physical Therapy Clinic/Center · Beverly Hills, CA

NPI number 1740831908 Active

Practice location

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

Call (310) 247-8414 Map

Fax (310) 247-9414

Mailing address

5061 Haskell Ave
Encino, CA 91436-1548

Specialties and licenses

Taxonomy	Code	License
Physical Therapy Clinic/Center Primary	261QP2000X	None listed

Physical Therapy Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care p…

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NPI record

NPI: 1740831908
Entity type: Organization (Type 2)
Issued: Sep 27, 2019
Last updated: Nov 18, 2019
Status: Active

Other names

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Manual Therapy la · doing business as
Manual Therapy la · doing business as

Authorized official

Dr. Amanda Van Dyk, DPT
Physical Therapist
(310) 968-2800

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1740831908

Koa Capital Ltd, Inc.'s National Provider Identifier is 1740831908, issued on Sep 27, 2019. The primary taxonomy on file is Physical Therapy Clinic/Center (261QP2000X), and the practice location is in Beverly Hills, CA. The record was last updated on Nov 18, 2019.