SOUTH BAY NEUROLOGY MEDICAL CORPORATION (NPI# 1659992527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659992527 |
| Entity Type | Organization |
| Organization Name | SOUTH BAY NEUROLOGY MEDICAL CORPORATION |
| Other Organization Name | SOUTH BAY NEUROLOGY |
| Practice Address |
3655 Lomita Blvd Ste 302 Torrance CA 90505-1919 |
| Mailing Address |
2325 Palos Verdes Dr W Ste 220 Palos Verdes Estates CA 90274-2777 |
| Practice Telephone | 4243831045 |
| Mailing Telephone | 3107488363 |
| Enumeration Date | 2020-05-02 |
| Last Update Date | 2020-05-25 |
| Authorized Official Name | NAZILA RAD (PRESIDENT) |
| Authorized Official Telephone | 3107488363 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| SOUTH BAY NEUROLOGY | Doing Business As Name - Organization |
| Street Address |
3655 LOMITA BLVD STE 302 |
| City | TORRANCE |
| State | CA |
| Zip Code | 90505-1919 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932549425 | Nazila Rad | Psychiatry & Neurology | 3655 Lomita Blvd Ste 302, Torrance, CA 90505-1919 | 2013-06-27 |
| 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 | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861949968 | Timothy J Hunt, Md, Inc. | Clinic/Center | 3475 Torrance Blvd, Suite F, Torrance, CA 90503-5800 | 2016-09-06 |
| 1245693100 | Sbps Aesthetic Institute, LLC | Clinic/Center | 3440 Lomita Blvd, Suite 100, Torrance, CA 90505-4801 | 2016-03-29 |
| 1013372242 | Revive Wellness Center | Clinic/Center | 22330 Hawthorne Blvd, Suite J, Torrance, CA 90505-2536 | 2015-12-14 |
| 1538562343 | Ramin M. Roohipour, Md, Inc | Clinic/Center | 3400 Lomita Blvd, Suite 200, Torrance, CA 90505-4909 | 2014-10-07 |
| 1215366455 | Southern California Center for Anti Aging, Inc. | Clinic/Center | 23823 Hawthorne Blvd, Torrance, CA 90505-5907 | 2013-11-07 |
| 1790025492 | Hosayn Khaleeli, Md Inc. | Clinic/Center | 2245 Sepulveda Blvd, Torrance, CA 90501-5302 | 2013-02-18 |
| 1265798276 | David M. Duffy, Md Inc | Clinic/Center | 4201 Torrance Blvd, Ste 710, Torrance, CA 90503-4504 | 2012-04-03 |
| 1104102151 | Urology of Southbay Inc. | Clinic/Center | 4305 Torrance Blvd, Ste 500, Torrance, CA 90503-4409 | 2011-10-21 |
| 1235427741 | Irram Rao Md Inc | Clinic/Center | 22330 Hawthorne Blvd, Suite 207, Torrance, CA 90505-2536 | 2011-07-18 |
| 1659675072 | Brain Md Inc | Clinic/Center | 22617 Hawthorne Blvd, Torrance, CA 90505-2510 | 2010-12-28 |
| 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.