Active NPI
Samuel Doong, DPT
- Physical Therapist
- Los Angeles, CA
National Provider Identifier
1003476359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 310941
- Practice address
- 11900 W Olympic Blvd Ste 101
Los Angeles, CA 90064-1166 - Phone
- (310) 770-7586
- NPI assigned
- Jun 18, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 310941 | CA | Primary |
Addresses
Primary practice location
11900 W Olympic Blvd Ste 101
Los Angeles, CA 90064-1166
Mailing address
695 S Vermont Ave Apt 711
Los Angeles, CA 90005-1979
Phone (909) 380-3463
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788307200000",
"number": "1003476359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "695 S VERMONT AVE APT 711",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900051979",
"telephone_number": "909-380-3463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11900 W OLYMPIC BLVD STE 101",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900641166",
"telephone_number": "310-770-7586"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOONG",
"first_name": "SAMUEL",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-06-18",
"last_updated": "2026-09-02",
"certification_date": "2026-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "310941",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.