SHO IZUMI, DDS, INC (NPI# 1083081236) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083081236 |
| Entity Type | Organization |
| Organization Name | SHO IZUMI, DDS, INC |
| Practice Address |
23545 Crenshaw Blvd Suite 105 Torrance CA 90505-5218 |
| Mailing Address |
1568 W Artesia Sq Unit F Gardena CA 90248-4735 |
| Practice Telephone | 3103232320 |
| Enumeration Date | 2015-08-24 |
| Last Update Date | 2015-08-24 |
| Authorized Official Name | SHO IZUMI (PRESIDENT) |
| Authorized Official Telephone | 8182596740 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
64992 | CA | Ambulatory Health Care Facilities |
| Street Address |
23545 CRENSHAW BLVD SUITE 105 |
| City | TORRANCE |
| State | CA |
| Zip Code | 90505-5218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689730251 | California Healthcare Staffing, Inc | Home Health | 23545 Crenshaw Blvd, Suite #203, Torrance, CA 90505-5218 | 2006-12-28 |
| 1306201892 | Sho Izumi | Dentist | 23545 Crenshaw Blvd, Ste 105, Torrance, CA 90505-5218 | 2015-12-28 |
| 1659757698 | Sachi A Fujita Dds A Professional Corporation | Clinic/Center | 23545 Crenshaw Blvd, Suite 105, Torrance, CA 90505-5218 | 2015-07-31 |
| 1851512131 | Suzanne Bette Mann | Psychologist | 23545 Crenshaw Blvd, #101b, Torrance, CA 90505 | 2007-05-02 |
| 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 | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932690831 | Daryn T. Nishikawa, D.d.s., Inc | Clinic/Center | 3556 Torrance Blvd Ste C, Torrance, CA 90503-4891 | 2018-05-25 |
| 1881064277 | Bardi-nugent Dental Corporation | Clinic/Center | 3663 Torrance Blvd Ste 3, Torrance, CA 90503-4817 | 2015-09-29 |
| 1205241494 | Henry S. Lee, D.d.s. Incorporated | Clinic/Center | 23000 Crenshaw Blvd Ste 102, Torrance, CA 90505-3059 | 2014-06-25 |
| 1447423264 | Jades Dentistry | Clinic/Center | 23440 Hawthorne Blvd Ste 110, Torrance, CA 90505-4768 | 2008-04-12 |
| 1053925248 | Dr. Sahar A. Mehr D.d.s Inc. | Clinic/Center | 23545 Crenshaw Blvd Ste 105, Torrance, CA 90505-5282 | 2020-09-04 |
| 1245870765 | Philip Chang Dds Dental Corporation | Clinic/Center | 1611 Crenshaw Blvd Ste C, Torrance, CA 90501-7124 | 2020-01-13 |
| 1982064382 | Rootvision Endo | Clinic/Center | 3663 Torrance Blvd Ste 3, Torrance, CA 90503-4817 | 2016-02-26 |
| 1659757698 | Sachi A Fujita Dds A Professional Corporation | Clinic/Center | 23545 Crenshaw Blvd, Suite 105, Torrance, CA 90505-5218 | 2015-07-31 |
| 1689053530 | Steven K Okamoto | Clinic/Center | 22330 Hawthorne Blvd, Suite E, Torrance, CA 90505 | 2015-05-26 |
| 1558749531 | E.c. Lobo-marwah, Dds., Inc | Clinic/Center | 3640 Lomita Blvd, Ste 202, Torrance, CA 90505-3927 | 2015-05-11 |
| Find all providers in TORRANCE | ||||
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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.