BONGSOO EDWIN LEE (NPI# 1285721589) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285721589 |
| Entity Type | Individual |
| Full Name | BONGSOO EDWIN LEE |
| Credential | D.C. |
| Practice Address |
4305 Torrance Blvd Suite 400 Torrance CA 90503-4409 |
| Mailing Address |
4305 Torrance Blvd. Suite 400 Torrance CA 90503-4404 |
| Practice Telephone | 3105303032 |
| Mailing Telephone | 3105303032 |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2008-12-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NS0005X |
Chiropractor Specialization: Sports Physician |
20285 | CA | Chiropractic Providers |
| Street Address |
4305 TORRANCE BLVD SUITE 400 |
| City | TORRANCE |
| State | CA |
| Zip Code | 90503-4409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215931761 | Ravi Prakash | Internal Medicine | 4305 Torrance Blvd, Ste 405, Torrance, CA 90503-4407 | 2005-06-10 |
| 1033698717 | Melody Castellon | Physician Assistant | 4305 Torrance Blvd, Torrance, CA 90503-4409 | 2018-08-13 |
| 1619324480 | Shawna Omid Dds | Dentist | 4305 Torrance Blvd, #103, Torrance, CA 90503-4409 | 2016-05-20 |
| 1043681729 | Blanca Gama | Dentist | 4305 Torrance Blvd, Suite 505, Torrance, CA 90503-4409 | 2015-10-07 |
| 1932582699 | Akshay Mehta Md Inc | Orthopaedic Surgery | 4305 Torrance Blvd, Suite #109, Torrance, CA 90503-4421 | 2015-06-30 |
| 1407235161 | Iplaza Pharmacy Inc | Pharmacy | 4305 Torrance Blvd, Suite 105, Torrance, CA 90503-4409 | 2015-05-27 |
| 1467870568 | Iplaza Pharmacy,inc | Pharmacy | 4305 Torrance Blvd, 105, Torrance, CA 90503-4409 | 2014-04-04 |
| 1992128847 | Manish Mehta Md, Inc | Urology | 4305 Torrance Blvd, #109, Torrance, CA 90503-4409 | 2014-01-29 |
| 1467886853 | Trinity Acupuncture, Inc | Acupuncturist | 4305 Torrance Blvd, Suite 208, Torrance, CA 90503-4409 | 2013-08-21 |
| 1821434010 | Yx Medical Group Inc | Family Medicine | 4305 Torrance Blvd, Ste 306, Torrance, CA 90503-4409 | 2013-05-15 |
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| 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 | 111NS0005X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Sports Physician |
| A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities. |
| Notes: Source: American Chiropractic Board of Sports Physicians, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871585851 | Roy M. Hughes Jr. | Chiropractor | 4511 Calle Mayor, Torrance, CA 90505-4458 | 2005-08-17 |
| 1225681158 | Raul Ramirez | Chiropractor | 23456 Hawthorne Blvd Ste 200, Torrance, CA 90505-4716 | 2019-07-19 |
| 1689880676 | Japanese Performers Inc | Chiropractor | 3655 Lomita Blvd Ste 308, Torrance, CA 90505-3934 | 2007-05-15 |
| 1376768069 | Danny J Lehnberg | Chiropractor | 5344 Torrance Blvd, Torrance, CA 90503-4012 | 2007-04-16 |
| 1760502272 | Richard J Goldenson | Chiropractor | 2814 Sepulveda Blvd, Suite H, Torrance, CA 90505-2863 | 2007-03-29 |
| 1033140348 | Michael W. Roquemore | Chiropractor | 23133 Hawthorne Blvd, Ste.108, Torrance, CA 90505-3729 | 2006-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831707199 | Pacific Integrative Medical Group Inc | Chiropractor | 2232 Santa Monica Blvd # 101, Santa Monica, CA 90404-2312 | 2020-07-22 |
| 1497394779 | Beavers Better Health Chiropractic, Inc. | Chiropractor | 5707 Marconi Ave Ste D, Carmichael, CA 95608-4471 | 2020-01-03 |
| 1932758679 | Johnnie C Morgan Iv | Chiropractor | 30423 Canwood St Ste 128, Agoura Hills, CA 91301-4314 | 2019-09-05 |
| 1386291920 | Ar'neka Montford | Chiropractor | 7109 Cardenas Way, Sacramento, CA 95828-3935 | 2019-08-19 |
| 1811459738 | Garrett Neill | Chiropractor | 4299 Macarthur Blvd Ste 102, Newport Beach, CA 92660-2019 | 2019-04-01 |
| 1952869661 | Pelofsky Sports Chiropractic | Chiropractor | 700 Wilshire Blvd Ste 510, Los Angeles, CA 90017-3863 | 2019-03-12 |
| 1790252963 | Andrew Winthrop | Chiropractor | 400 Continental Blvd Ste 6070, El Segundo, CA 90245-5076 | 2018-10-25 |
| 1497233522 | Pure Sports Medical Corporation | Chiropractor | 4300 Tradewinds Dr Ste 300, Oxnard, CA 93035-1458 | 2018-07-31 |
| 1548751951 | Jeffrey Christopher Abreu | Chiropractor | 1451 66th St, Emeryville, CA 94608-1004 | 2018-05-21 |
| 1093206641 | Ulberg Healing Choices & Chiropractic, Inc | Chiropractor | 901 Greenwich Dr, Thousand Oaks, CA 91360-6022 | 2018-05-18 |
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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.