Healthcare Provider Details

I. General information

NPI: 1952040289
Provider Name (Legal Business Name): KOYO PSYCHOLOGY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2022
Last Update Date: 09/11/2025
Certification Date: 09/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21151 S WESTERN AVE STE 273
TORRANCE CA
90501-1724
US

IV. Provider business mailing address

21151 S WESTERN AVE STE 273
TORRANCE CA
90501-1724
US

V. Phone/Fax

Practice location:
  • Phone: 323-591-9611
  • Fax:
Mailing address:
  • Phone: 323-591-9611
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: KATHERINE SHEU
Title or Position: PRESIDENT
Credential: PSYD
Phone: 213-357-1638