Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NEURO WELLNESS SPA, A MEDICAL PC
NPI 1003394149
Psychiatry & Neurology - Psychiatry in Manhattan Beach, CA

Active since July 31, 2018
1101 N SEPULVEDA BLVD STE 201, MANHATTAN BEACH, CA 90266(310) 545-4450(310) 564-2295 Get Directions Write a Review

NPPES record last updated: October 5, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Oct 5, 2026, Jun 11, 2019, Feb 12, 2019 and 1 more (4 updates tracked since 2018).

About Neuro Wellness Spa, A Medical Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NEURO WELLNESS SPA, A MEDICAL PC (NPI 1003394149), doing business as Neuro Wellness Spa, is a healthcare organization registered as a psychiatry in Manhattan Beach, California and active in the NPI registry since July 2018. The organization maintains 15 additional practice locations and lists Martha Koo, Cmo, as its authorized official.

NPPES Registry Identity

NPI1003394149
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameNEURO WELLNESS SPA, A MEDICAL PC
Location Address1101 N SEPULVEDA BLVD STE 201Manhattan Beach, CA 90266-5963
Mailing Address18119 Prairie AveTorrance, CA 90504-3739 · (877) 847-3984 · Fax (888) 383-5708
Fax(310) 564-2295
Organization SubpartNo
Authorized OfficialMartha KooCmo · (877) 847-3984
Enumeration DateJuly 31, 2018
Last NPPES UpdateOctober 5, 20264 updates tracked since enumeration
NPPES CertifiedOctober 5, 2026
✔ NPI 1003394149 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in CA · G78080
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedMarriage & Family TherapistTaxonomy 106H00000X
1101 N SEPULVEDA BLVD STE 201, Manhattan Beach, CA 90266

Other Names 1

Doing Business AsNeuro Wellness Spa

Secondary Practice Locations 15

Location 1200 Newport Center Dr Ste 111Newport Beach, CA 92660-7502 · Phone (877) 847-3984 · Fax (888) 383-5708
Location 218411 Crenshaw Blvd Ste 360Torrance, CA 90504-5060 · Phone (877) 847-3984 · Fax (888) 383-5708
Location 31101 N Sepulveda Blvd Ste 202Manhattan Beach, CA 90266-5963 · Phone (877) 847-3984 · Fax (888) 383-5708
Location 43600 Lomita Blvd Ste 200Torrance, CA 90505-3900 · Phone (310) 545-4450
Location 537 Creek Rd Ste 140Irvine, CA 92604-4724 · Phone (877) 847-3984 · Fax (888) 383-5708
Location 622706 Aspan St Ste 501Lake Forest, CA 92630-1603 · Phone (877) 847-3984 · Fax (888) 383-5708
Location 7475 S State College BlvdBrea, CA 92821-5726 · Phone (877) 847-3984 · Fax (888) 383-5708
Location 8764 P St Ste 19Fresno, CA 93721-2741 · Phone (877) 847-3984 · Fax (888) 383-5708
Location 9350 S Lake Ave Ste 260Pasadena, CA 91101-3530 · Phone (877) 847-3984 · Fax (888) 383-5708
Location 1013400 Washington Blvd Ste 105Marina Del Rey, CA 90292-5632 · Phone (877) 847-3984 · Fax (888) 383-5708
Location 115838 E Naples PlzLong Beach, CA 90803-5039 · Phone (877) 847-3984 · Fax (888) 383-5708
Location 122656 29th St Ste 202Santa Monica, CA 90405-2984 · Phone (877) 847-3984 · Fax (888) 383-5708
Location 1316530 Ventura Blvd Ste 625Encino, CA 91436-5009 · Phone (877) 847-3984 · Fax (888) 383-5708
Location 148383 Wilshire Blvd Ste 520Beverly Hills, CA 90211-2437 · Phone (877) 847-3984 · Fax (888) 383-5708
Location 155743 Corsa Ave Ste 107Westlake Village, CA 91362-6474 · Phone (877) 847-3984 · Fax (888) 383-5708

Other Identifiers 2

Other1497899728CA · Nppes
Other1811442767CA · Nppes

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Psychiatric/Mental Health)
1101 N SEPULVEDA BLVD STE 201
MANHATTAN BEACH, CA 90266
Marriage & Family Therapist
1101 N SEPULVEDA BLVD STE 201
MANHATTAN BEACH, CA 90266
Marriage & Family Therapist
1101 N SEPULVEDA BLVD STE 201
MANHATTAN BEACH, CA 90266
Nurse Practitioner (Psychiatric/Mental Health)
1101 N SEPULVEDA BLVD STE 201
MANHATTAN BEACH, CA 90266

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Neuro Wellness Spa, A Medical PC's NPI number?

The NPI number for Neuro Wellness Spa, A Medical PC is 1003394149. It was assigned to this organization in the NPPES registry on July 31, 2018. The provider is doing business as Neuro Wellness Spa.

Where is Neuro Wellness Spa, A Medical PC located?

Neuro Wellness Spa, A Medical PC is located at 1101 N Sepulveda Blvd Ste 201, Manhattan Beach, CA 90266. The listed phone number is (310) 545-4450.

What is Neuro Wellness Spa, A Medical PC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

When was this NPI record last updated?

The NPPES record for Neuro Wellness Spa, A Medical PC was last updated on October 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.