SOUTH BAY OTOLARYNGOLOGY HEAD AND NECK SURGERY A MEDICAL CORPORATION (NPI# 1972724326) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972724326 |
| Entity Type | Organization |
| Organization Name | SOUTH BAY OTOLARYNGOLOGY HEAD AND NECK SURGERY A MEDICAL CORPORATION |
| Practice Address |
20911 Earl St Suite 260 Torrance CA 90503-4352 |
| Practice Telephone | 3103705555 |
| Practice Fax Number | 3103700133 |
| Mailing Telephone | 3103705555 |
| Mailing Fax Number | 3103700133 |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2010-12-28 |
| Authorized Official Name | NELMAN LOW (PRESIDENT) |
| Authorized Official Telephone | 3103705555 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YX0905X |
Otolaryngology Specialization: Otolaryngology/Facial Plastic Surgery |
Allopathic & Osteopathic Physicians |
| Street Address |
20911 EARL ST SUITE 260 |
| City | TORRANCE |
| State | CA |
| Zip Code | 90503-4352 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124029145 | Wendy Hamilton | Nurse Practitioner | 20911 Earl St, Suite 440, Torrance, CA 90503-4352 | 2005-08-02 |
| 1972160786 | Christina Marie Vivit | Physical Therapist | 20911 Earl St, Torrance, CA 90503-4352 | 2019-05-28 |
| 1992160501 | Pacific Advanced Kidney Solutions Inc | Specialist | 20911 Earl St, Suite 200, Torrance, CA 90503-4352 | 2015-12-24 |
| 1487022836 | Nazir U Khaja Md Inc | Internal Medicine | 20911 Earl St, Suite 180, Torrance, CA 90503-4352 | 2015-09-02 |
| 1326414376 | Amrita Desai | Physician Assistant | 20911 Earl St, Suite 470, Torrance, CA 90503-4352 | 2015-08-13 |
| 1659752418 | Connect Hearing, Inc. | Audiologist | 20911 Earl St, Ste 340, Torrance, CA 90503-4352 | 2015-06-17 |
| 1265841696 | Kristin Andrade, M.d., Inc. | Clinic/Center | 20911 Earl St, Suite 100, Torrance, CA 90503-4352 | 2014-08-11 |
| 1003178914 | John M. Kennedy, M.d., Inc. | Internal Medicine | 20911 Earl St, 200, Torrance, CA 90503-4352 | 2012-06-15 |
| 1518228394 | Ali M. Meibodi, M.d. Inc. | Internal Medicine | 20911 Earl St, 200, Torrance, CA 90503-4352 | 2012-06-07 |
| 1841566189 | Kathleen Beaufait | Acupuncturist | 20911 Earl St, Suite 330, Torrance, CA 90503-4352 | 2012-03-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013562180 | Jason Anthony Maglinao | Chiropractor | 21010 Anza Ave., #12, Torrance, CA 90503 | 2019-08-06 |
| 1891288890 | Ehab Samaan Dds Inc | Dentist | 19019 Hawthorne Blvd Ste 100b, Torrance, CA 90503 | 2018-06-13 |
| 1740771435 | Icare California House Call Practice LLC | Nurse Practitioner | 4460 Spencer St, Torrance, CA 90503 | 2018-05-29 |
| 1396258729 | South Bay Home Care, Inc., Dba Always Best Care - South Bay | In Home Supportive Care | 370 S. Crenshaw Blvd., Ste. E106, Torrance, CA 90503 | 2017-11-07 |
| 1770093023 | Home Care Professional Services, Inc. | In Home Supportive Care | 3838 West Carson Street, Suite 208, Torrance, CA 90503 | 2017-10-01 |
| 1003355686 | Mona Nejad | Dentist | 4305 Torrance Blvd Ste 103, Torrance, CA 90503 | 2017-02-16 |
| 1497114722 | Jacqueline Martinez | Technician, Other | 4201 Torrance Blvd Suite 190, Torrance, CA 90503 | 2016-02-15 |
| 1093196255 | Hanmo Gu | Chiropractor | 3510 Torrance Blvd., Ste 106, Torrance, CA 90503 | 2015-06-13 |
| 1164813341 | Aimee Y Miyazawa | Specialist/Technologist | 20501 Earl St. Ste. 3, Torrance, CA 90503 | 2015-02-10 |
| 1396145231 | Nicole Soghomonian | Social Worker | 5010 Merrill St, Torrance, CA 90503 | 2014-08-28 |
| Find all providers in zip 90503 | ||||
| Taxonomy Code | 207YX0905X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Otolaryngology/Facial Plastic Surgery |
| An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205003357 | Mike Sheu | Otolaryngology | 23441 Madison St, Building 8, Suite 130, Torrance, CA 90505-4725 | 2008-05-08 |
| 1851429203 | David A. Bray, Jr., M.d., Inc. | Otolaryngology | 23560 Madison St, Ste. 102, Torrance, CA 90505-4708 | 2007-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073159406 | Bh Ent Group Inc | Otolaryngology | 9033 Wilshire Blvd Ste 409, Beverly Hills, CA 90211-1847 | 2019-11-20 |
| 1942719570 | Beverly Hills Head and Neck Associates | Otolaryngology | 9401 Wilshire Blvd Ste 650, Beverly Hills, CA 90212-2913 | 2017-09-27 |
| 1083135065 | Jeffrey Jumaily Md Inc | Otolaryngology | 8816 Burton Way # 1, Beverly Hills, CA 90211-1715 | 2017-06-29 |
| 1558881771 | Bel Air Surgical Institute | Otolaryngology | 11847 Wilshire Blvd Ste 302, Los Angeles, CA 90025-6634 | 2017-06-20 |
| 1912371352 | Ent Surgical Specialists Inc. | Otolaryngology | 6424 W Olympic Blvd, Los Angeles, CA 90048-5347 | 2015-11-23 |
| 1437536216 | Kiersten L. Riedler | Otolaryngology | 5405 Oberlin Dr Fl 2, San Diego, CA 92121-1700 | 2015-04-30 |
| 1114344025 | Ryan M Casserly | Otolaryngology | 966 Cass St Ste 250, Monterey, CA 93940-4541 | 2014-03-28 |
| 1558798611 | Stephen Dow Proffitt | Otolaryngology | 172 Admiral Way, Costa Mesa, CA 92627-1397 | 2013-10-03 |
| 1447693973 | Jacob Lee Wester | Otolaryngology | 200 Medical Plaza Driveway Ste 550, Ucla Department of Head and Neck Surgery, Los Angeles, CA 90095-0001 | 2013-04-15 |
| 1417294174 | Entegrative Otolaryngology PC | Otolaryngology | 1144 Sonoma Ave Ste 101, Santa Rosa, CA 95405-4812 | 2013-01-14 |
| Find all providers with the same taxonomy | ||||
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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.