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Neuro Wellness Spa, A Medical PC

Psychiatry Physician in Manhattan Beach, CA · enumerated 2018 · authorized official Martha Koo, Cmo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1003394149

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Registry record

Entity type Organization (Type 2)
Legal business name Neuro Wellness Spa, A Medical PC
Practice address 1101 N Sepulveda Blvd Ste 201, Manhattan Beach, CA, 90266
Fax (424) 423-0204
Enumeration date Jul 31, 2018
Last updated in NPPES Oct 30, 2026

Taxonomy & classification

1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers Secondary
106H00000X Marriage & Family Therapist Behavioral Health & Social Service Providers Secondary
2084P0800X Psychiatry Physician Allopathic & Osteopathic Physicians · License G78080 (CA) Primary
2084P0804X Child & Adolescent Psychiatry Physician Allopathic & Osteopathic Physicians Secondary
363LP0808X Psychiatric/Mental Health Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Martha Koo
Title Cmo

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2026-10-30. Verify at npiregistry.cms.hhs.gov.
Where is Neuro Wellness Spa, A Medical PC located?
The practice location on file with NPPES is in Manhattan Beach, CA.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-10-30.