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(424) 423-0204 Get Directions Write a Review

NPPES record last updated: October 30, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 30, 2026, Oct 15, 2026, Oct 5, 2026 and 3 more (6 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 21 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 (424) 423-0204
Fax(424) 423-0204
Organization SubpartNo
Authorized OfficialMartha KooCmo · (877) 847-3984
Enumeration DateJuly 31, 2018
Last NPPES UpdateOctober 30, 20266 updates tracked since enumeration
NPPES CertifiedOctober 30, 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 21

Location 11000 Texas St Ste GFairfield, CA 94533-5700 · Phone (877) 847-3984 · Fax (424) 423-0204
Location 21777 Hamilton Ave Ste 2140San Jose, CA 95125-5421 · Phone (877) 847-3984 · Fax (424) 423-0204
Location 35743 Corsa Ave Ste 107Westlake Village, CA 91362-6474 · Phone (877) 847-3984 · Fax (424) 423-0204
Location 47777 Alvarado Rd Ste 408BLA Mesa, CA 91942-8248 · Phone (877) 847-3984 · Fax (424) 423-0204
Location 52656 29th St Ste 202Santa Monica, CA 90405-2984 · Phone (877) 847-3984 · Fax (424) 423-0204
Location 65838 E Naples PlzLong Beach, CA 90803-5039 · Phone (877) 847-3984 · Fax (424) 423-0204
Location 713400 Washington Blvd Ste 105Marina Del Rey, CA 90292-5632 · Phone (877) 847-3984 · Fax (424) 423-0204
Location 83600 Lomita Blvd Ste 200Torrance, CA 90505-3900 · Phone (310) 545-4450 · Fax (424) 423-0204
Location 9350 S Lake Ave Ste 260Pasadena, CA 91101-3530 · Phone (877) 847-3984 · Fax (424) 423-0204
Location 10200 Newport Center Dr Ste 111Newport Beach, CA 92660-7502 · Phone (877) 847-3984 · Fax (424) 423-0204
Location 11764 P St Ste 19Fresno, CA 93721-2741 · Phone (877) 847-3984 · Fax (424) 423-0204
Location 12475 S State College BlvdBrea, CA 92821-5726 · Phone (877) 847-3984 · Fax (424) 423-0204
Location 1322706 Aspan St Ste 501Lake Forest, CA 92630-1603 · Phone (877) 847-3984 · Fax (424) 423-0204
Location 148383 Wilshire Blvd Ste 520Beverly Hills, CA 90211-2437 · Phone (877) 847-3984 · Fax (424) 423-0204
Location 151101 N Sepulveda Blvd Ste 202Manhattan Beach, CA 90266-5963 · Phone (877) 847-3984 · Fax (424) 423-0204
Location 1618411 Crenshaw Blvd Ste 360Torrance, CA 90504-5060 · Phone (877) 847-3984 · Fax (424) 423-0204
Location 1737 Creek Rd Ste 140Irvine, CA 92604-4724 · Phone (877) 847-3984 · Fax (424) 423-0204
Location 1818411 Crenshaw Blvd Ste 320Torrance, CA 90504-5044 · Phone (877) 847-3984 · Fax (424) 423-0204
Location 1916530 Ventura Blvd Ste 625Encino, CA 91436-5009 · Phone (877) 847-3984 · Fax (424) 423-0204
Location 203400 Inland Empire Blvd Ste 101Ontario, CA 91764-5577 · Phone (877) 847-3984 · Fax (424) 423-0204
Location 216850 Brockton Ave Ste 209Riverside, CA 92506-3815 · Phone (877) 847-3984 · Fax (424) 423-0204

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.