KOA CAPITAL LTD, INC. (NPI# 1740831908) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740831908 |
| Entity Type | Organization |
| Organization Name | KOA CAPITAL LTD, INC. |
| Other Organization Name | MANUAL THERAPY LA |
| Practice Address |
9665 Wilshire Blvd Ste 450 Beverly Hills CA 90212-2446 |
| Mailing Address |
5061 Haskell Ave Encino CA 91436-1548 |
| Practice Telephone | 3102478414 |
| Practice Fax Number | 3102479414 |
| Mailing Telephone | 3109682800 |
| Enumeration Date | 2019-09-27 |
| Last Update Date | 2019-11-18 |
| Authorized Official Name | DR. AMANDA VAN DYK (PHYSICAL THERAPIST) |
| Authorized Official Telephone | 3109682800 |
| Authorized Official Credential | DPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Manual Therapy LA | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700427689 | Koa Capital Ltd, Inc. | Clinic/Center | 5061 Haskell Ave, Encino, CA 91436-1548 | 2019-10-02 |
| Street Address |
9665 WILSHIRE BLVD STE 450 |
| City | BEVERLY HILLS |
| State | CA |
| Zip Code | 90212-2446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629535604 | Diego Bautista | Specialist/Technologist, Other | 324 S Beverly Drive #214, Beverely Hills, CA 90212 | 2019-02-26 |
| 1124582978 | California Surgery of Excellence, LLC | Clinic/Center | 269 S Beverly Dr Ste 809, Beverly Hills, CA 90212 | 2019-01-25 |
| 1356818132 | Kari Michelle Sacks | Social Worker | 300 South Beverly Drive, Beverly Hills, CA 90212 | 2018-10-30 |
| 1942782370 | Susan Elizabeth Smiley | Technician, Other | 160 S. Lasky Drive, Beverly Hills, CA 90212 | 2018-09-01 |
| 1417443714 | Sharona Asal Mossazadeh | Physician Assistant | 344 S Rodeo Dr, Beverly Hills, CA 90212 | 2018-07-10 |
| 1760983167 | Nina Rebecca Moradi | Marriage & Family Therapist | 420 S. Beverly Dr., Suite 100-19, Beverly Hills, CA 90212 | 2018-02-22 |
| 1376065946 | Rebecca Shelly Agi | Lactation Consultant, Non-RN | 350 South Reeves Dr., 201, Beverly Hills, CA 90212 | 2017-07-14 |
| 1952853582 | Dmarkis Randolph | Dietetic Technician, Registered | 269 S Beverly Drive, 1038, Beverly Hills, CA 90212 | 2016-10-31 |
| 1023560935 | Barrence Baytos | Kinesiotherapist | 260 S. Beverly Drive, Suite # 210, Beverly Hills, CA 90212 | 2016-10-26 |
| 1467810424 | Laura Fischer | Registered Nurse | 120 S Spalding Dr Ste 301, Beverly Hills, CA 90212 | 2016-02-05 |
| Find all providers in zip 90212 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629340005 | Back To Balance Rehabilitation and Fitness Inc. | Clinic/Center | 307 S Robertson Blvd, Beverly Hills, CA 90211-3602 | 2012-02-01 |
| 1659565315 | Roxbury Rehab Incorporated | Clinic/Center | 9701 Santa Monica Blvd, Beverly Hills, CA 90210-4201 | 2007-09-05 |
| 1174654057 | Rpt Physical Therapy, Inc | Clinic/Center | 9703 S Santa Monica Blvd, Beverly Hills, CA 90210 | 2007-03-09 |
| 1972931608 | Bodies In Balance LLC | Clinic/Center | 8730 Wilshire Blvd, Suite 200, Beverly Hills, CA 90211-2716 | 2013-10-15 |
| 1598101065 | La Main Physical Therapy Inc | Clinic/Center | 260 S Beverly Dr, Suite 210, Beverly Hills, CA 90212-3833 | 2013-05-10 |
| 1669774014 | Body Reform Physical Therapies, Inc. | Clinic/Center | 9665 Wilshire Blvd, #222, Beverly Hills, CA 90212-2340 | 2010-11-17 |
| 1821318619 | Healthstart Inc. | Clinic/Center | 8920 Wilshire Blvd, Suite 335, Beverly Hills, CA 90211-2007 | 2010-06-03 |
| 1568698751 | Neha Physical Therapy and Yoga | Clinic/Center | 8420 Wilshire Blvd, Beverly Hills, CA 90211-3201 | 2009-06-02 |
| 1063626281 | John Koegel, Pt Inc. | Clinic/Center | 8920 Wilshire Blvd., Suite 335, Beverly Hills, CA 90211 | 2007-05-09 |
| 1417175415 | Body Reform Physical Therapies Inc. | Clinic/Center | 414 N Camden Dr, 1050, Beverly Hills, CA 90210-4532 | 2007-04-23 |
| Find all providers in BEVERLY HILLS | ||||
| City | BEVERLY HILLS |
| Zip Code | 90212 |
Please comment or provide details below to improve the information on KOA CAPITAL LTD, INC..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.