OAC SOUTHERN MEDICAL PROFESSIONAL CORP (NPI# 1447539523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447539523 |
| Entity Type | Organization |
| Organization Name | OAC SOUTHERN MEDICAL PROFESSIONAL CORP |
| Practice Address |
23430 Hawthorne Blvd 125 Torrance CA 90505-4720 |
| Practice Telephone | 3103730555 |
| Practice Fax Number | 3103735655 |
| Mailing Telephone | 3103730555 |
| Mailing Fax Number | 3103735655 |
| Enumeration Date | 2011-08-08 |
| Last Update Date | 2012-07-16 |
| Authorized Official Name | DR. MARYAM RAHIMI (DOCTOR) |
| Authorized Official Telephone | 3103730555 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081S0010X |
Physical Medicine & Rehabilitation Specialization: Sports Medicine |
005474 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CA LICENSE | 20A10143 | 01 |
| Street Address |
23430 HAWTHORNE BLVD 125 |
| City | TORRANCE |
| State | CA |
| Zip Code | 90505-4720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245206069 | Cynthia Jean Lowry | Physical Therapist | 23430 Hawthorne Blvd, Bldg. 3, Suite 105, Torrance, CA 90505-4720 | 2006-02-23 |
| 1821621665 | Tatiana Nazaroff | Physical Therapist | 23430 Hawthorne Blvd, Torrance, CA 90505-4720 | 2020-02-20 |
| 1558807263 | Cove Surgery Center, LLC | Clinic/Center | 23430 Hawthorne Blvd, Ste 110, Torrance, CA 90505-4720 | 2017-01-19 |
| 1295196061 | Yurong Lu | Physical Therapist | 23430 Hawthorne Blvd, Suite 105, Torrance, CA 90505 | 2016-03-08 |
| 1457742330 | Sasha Mejia | Registered Nurse | 23430 Hawthorne Blvd, Bldg 3 Suite 325, Torrance, CA 90505-4720 | 2015-02-12 |
| 1730595505 | South Bay Family Health Care | Clinic/Center | 23430 Hawthorne Blvd, Bldg 3 Ste 210, Torrance, CA 90505-4720 | 2014-07-01 |
| 1366873481 | Tony Tran | Physical Therapist | 23430 Hawthorne Blvd, Torrance, CA 90505-4720 | 2013-11-30 |
| 1003252016 | Emere Medical Professional Corporation | Physical Medicine & Rehabilitation | 23430 Hawthorne Blvd, Suite 125, Torrance, CA 90505-4724 | 2013-05-16 |
| 1174894935 | Laura Toyono Jong Md - Neurology | Psychiatry & Neurology | 23430 Hawthorne Blvd, Suite 280, Torrance, CA 90505-4764 | 2012-01-25 |
| 1306122908 | Garrett Hom | Physical Therapist | 23430 Hawthorne Blvd, Suite 105, Torrance, CA 90505-4720 | 2011-10-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780229260 | Sleep Apnea Team LLC | Clinic/Center | 2785 Pacific Coast Hwy Ste. E #197, Torrance, CA 90505 | 2019-11-08 |
| 1811469349 | Laura Anne Bloomberg | Marriage & Family Therapist | 2790 Sky Park Drive, Suite 215, Torrance, CA 90505 | 2018-12-21 |
| 1629544234 | Doroty O.d.s. Devalon | Physician Assistant | 23530 Hawthorne Boulevard Building 1, Suite 290, Torrance, CA 90505 | 2018-10-22 |
| 1790270486 | Juste Karvelyte | Dentist | 3500 Lomita Blvd Ste 201, Torrance, CA 90505 | 2018-06-26 |
| 1023507324 | Robert De Leon | Physician Assistant | 23530 Hawthorne Blvd Ste 290, Torrance, CA 90505 | 2018-05-02 |
| 1376052274 | Regents of The University of California | Durable Medical Equipment & Medical Supplies | 3500 Lomita Bvld, Suite 300, Torrance, CA 90505 | 2017-09-22 |
| 1649796038 | Chan & Huang Dental Partnership | Dentist | 3640 Lomita Blvd., #208, Torrance, CA 90505 | 2017-08-17 |
| 1093238370 | Family Acupuncture, Inc. | Specialist/Technologist, Other | 2820 Sepulveda Blvd.ste.a, Torrance, CA 90505 | 2017-07-19 |
| 1629518535 | J Lee Acupuncture | Acupuncturist | 24248 Crenshaw Blvd. #106, Torrance, CA 90505 | 2017-02-27 |
| 1770932360 | Maha Hanna Dds Inc | Dentist | 3710 Pacific Coast Hwy, Ste 101, Torrance, CA 90505 | 2016-06-06 |
| Find all providers in zip 90505 | ||||
| Taxonomy Code | 2081S0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Sports Medicine |
| A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise. |
| Notes: Source: American Board of Medical Specialties, 2009. www.abms.org [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316505563 | Restore The Machine - Physical Therapy Inc | Physical Medicine & Rehabilitation | 23332 Hawthorne Blvd Ste 202, Torrance, CA 90505-3767 | 2019-06-03 |
| 1558593772 | West Torrance Physical Therapy Inc. | Physical Medicine & Rehabilitation | 3400 Lomita Blvd Ste 503, Torrance, CA 90505-4933 | 2009-08-21 |
| 1003252016 | Emere Medical Professional Corporation | Physical Medicine & Rehabilitation | 23430 Hawthorne Blvd, Suite 125, Torrance, CA 90505-4724 | 2013-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518578186 | Tracy Tran Physical Therapy | Physical Medicine & Rehabilitation | 5166 Eagle Rock Blvd, Los Angeles, CA 90041-1115 | 2020-08-16 |
| 1255969143 | Amber Renee Debarge | Physical Medicine & Rehabilitation | 2918 Havasupai Ave, San Diego, CA 92117-1641 | 2020-03-28 |
| 1932734969 | Jasmine Angelina Velasquez | Physical Medicine & Rehabilitation | 12017 Herbert St, Los Angeles, CA 90066-5201 | 2020-03-10 |
| 1275165979 | Coastal Regenerative Orthopedics & Wellness Center Inc. | Physical Medicine & Rehabilitation | 11772 Sorrento Valley Rd Ste 100, San Diego, CA 92121-1016 | 2020-02-10 |
| 1679110407 | Drew Yoder | Physical Medicine & Rehabilitation | Chase Center - Bbops, 1 Warriors Way, San Francisco, CA 94158 | 2019-11-27 |
| 1841831864 | Olivia Carmen Smith | Physical Medicine & Rehabilitation | 2439 Country Club Dr, Glendora, CA 91741-4009 | 2019-10-01 |
| 1538719521 | Kyle Watry | Physical Medicine & Rehabilitation | 550 15th St Ste 36a, San Francisco, CA 94103-5032 | 2019-09-12 |
| 1023679826 | Adrianna Medina | Physical Medicine & Rehabilitation | 279 E Orlando Way, Covina, CA 91723-3016 | 2019-06-24 |
| 1881163889 | Gaylen Mcginn | Physical Medicine & Rehabilitation | 724 W Maple Ave Apt A, Orange, CA 92868-5022 | 2018-11-19 |
| 1326532417 | Nicolas Simo | Physical Medicine & Rehabilitation | 742 Bonnie Claire Dr, Walnut, CA 91789-4185 | 2018-06-21 |
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| 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.