Active NPI
Zachary Soufl, DC
- Chiropractor
- Redondo Beach, CA
National Provider Identifier
1053152736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 36490
- Practice address
- 1706 Aviation Blvd
Redondo Beach, CA 90278 - Phone
- (310) 963-9724
- NPI assigned
- Jun 5, 2024
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 36490 | CA | Primary |
Addresses
Primary practice location
1706 Aviation Blvd
Redondo Beach, CA 90278
Mailing address
5528 Konya Dr
Torrance, CA 90503-1827
Phone (310) 963-9724
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36490 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717545600000",
"number": "1053152736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5528 KONYA DR",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905031827",
"telephone_number": "310-963-9724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1706 AVIATION BLVD",
"city": "REDONDO BEACH",
"state": "CA",
"postal_code": "90278",
"telephone_number": "310-963-9724"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOUFL",
"first_name": "ZACHARY",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-06-05",
"last_updated": "2024-06-05",
"certification_date": "2024-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "36490",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Redondo Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.