SOUTH BAY WELLNESS CENTER (NPI# 1235480963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235480963 |
| Entity Type | Organization |
| Organization Name | SOUTH BAY WELLNESS CENTER |
| Practice Address |
11968 Aviation Blvd Inglewood CA 90304-1001 |
| Practice Telephone | 3108484105 |
| Practice Fax Number | 3108481403 |
| Mailing Telephone | 3108481405 |
| Mailing Fax Number | 3108481403 |
| Enumeration Date | 2012-09-20 |
| Last Update Date | 2015-03-10 |
| Authorized Official Name | DR. KIAN M JAVID (CLINIC DIRECTOR) |
| Authorized Official Telephone | 3108481405 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 33147 | CA | Chiropractic Providers |
| Street Address |
11968 AVIATION BLVD |
| City | INGLEWOOD |
| State | CA |
| Zip Code | 90304-1001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538436811 | Harmik Torosian | Chiropractor | 11968 Aviation Blvd, Inglewood, CA 90304-1001 | 2011-11-30 |
| 1114310505 | Kian M Javid | Chiropractor | 11968 Aviation Blvd, Inglewood, CA 90304-1001 | 2015-03-10 |
| 1366704728 | Hossein Javid, Dds, Inc | Clinic/Center | 11968 Aviation Blvd, Inglewood, CA 90304-1001 | 2012-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720639164 | Elizabeth Jett | Technician | 5527 W. 119th Place, Inglewood, CA 90304 | 2019-09-26 |
| 1376099267 | Makasha Sims | Licensed Vocational Nurse | 4450 W. Century Bld., Inglewood, CA 90304 | 2016-08-30 |
| 1528309655 | Ma Roxanne Fermin | Optometrist | 11964 Aviation Blvd, Los Angeles, CA 90304 | 2013-03-14 |
| 1295958353 | Hossein Javid | Dentist | 11976 Aviation Blvd, Inglewood, CA 90304 | 2007-04-10 |
| 1063952554 | Samantha Michelle Kirzner | Dentist | 4201 W Century Blvd, Inglewood, CA 90304 | 2017-03-02 |
| 1639557218 | Priority Vision Optometry Inc | Optometrist | 11964 Aviation Blvd, Los Angeles, CA 90304 | 2015-05-14 |
| 1104261353 | Javid Brothers | Dentist | 11976 Aviation Blvd, Inglewood, CA 90304-1001 | 2013-05-01 |
| 1881873552 | Lidya Soraya Acevedo | Dentist | 11976 Aviation Blvd, Inglewood, CA 90304-1001 | 2007-10-30 |
| 1811994478 | Bruce Charles Daugherty | Surgery | 5301 W 119th Pl, Inglewood, CA 90304-1019 | 2005-06-28 |
| 1326414582 | Tahany Warner | Private Vehicle | 5425 W 118th Pl, Inglewood, CA 90304-1033 | 2015-08-11 |
| Find all providers in zip 90304 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538436811 | Harmik Torosian | Chiropractor | 11968 Aviation Blvd, Inglewood, CA 90304-1001 | 2011-11-30 |
| 1073705976 | Herb Crosby | Chiropractor | 1209 Buckler Ave, Inglewood, CA 90302-1310 | 2007-08-14 |
| 1467509190 | Kevin Y York | Chiropractor | 513 E Manchester Blvd, 201, Inglewood, CA 90301-1907 | 2007-01-04 |
| 1003821471 | Gerald Grega | Chiropractor | 101 N La Brea Ave, #101, Inglewood, CA 90301-1769 | 2006-07-31 |
| 1215925813 | Scott W Martin | Chiropractor | 8444 Crenshaw Blvd, Inglewood, CA 90305-1914 | 2005-10-10 |
| 1114310505 | Kian M Javid | Chiropractor | 11968 Aviation Blvd, Inglewood, CA 90304-1001 | 2015-03-10 |
| 1588945950 | Med-legal Safaeian Chiropractic and Physical Therapy Group Inc | Chiropractor | 426 E Arbor Vitae St, Inglewood, CA 90301-3450 | 2011-08-30 |
| 1942462833 | Linda Denise Lacefield | Chiropractor | 11161 Crenshaw Blvd Ste 150, Inglewood, CA 90303-2354 | 2008-07-01 |
| 1023279239 | Azita Kiai | Chiropractor | 2930 W Imperial Hwy, Suite #316, Inglewood, CA 90303-3143 | 2008-06-19 |
| 1265620298 | Behrooz Samouha | Chiropractor | 101 N La Brea Ave, 101, Inglewood, CA 90301-1769 | 2007-10-03 |
| Find all providers in INGLEWOOD | ||||
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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.