Sho Izumi, DDS, Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

64992 Issued in CA

Legal business name

SHO IZUMI, DDS, INC

Practice address

23545 Crenshaw Blvd
Suite 105
Torrance, CA 90505-5218

Phone

(310) 323-2320

NPI assigned

Aug 24, 2015

Last updated

Aug 24, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sho Izumi, DDSNPI 1306201892

Title

President

Phone

(818) 259-6740

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sho Izumi

  • Dentist
  • Torrance, CA
  • NPI 1306201892
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1440374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440374400000",
    "number": "1083081236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1568 W ARTESIA SQ UNIT F",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902484735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23545 CRENSHAW BLVD",
            "address_2": "SUITE 105",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905055218",
            "telephone_number": "310-323-2320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHO IZUMI, DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-24",
        "last_updated": "2015-08-24",
        "status": "A",
        "authorized_official_last_name": "IZUMI",
        "authorized_official_first_name": "SHO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-259-6740",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "64992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lara G Shirikjian, D.O.
• Shirlene Jay, M.D., Inc
• Shizuka Erin Shishido, MPAS, PA-C, ATC,CSCS
• Evangeline Uy Shitabata, DDS
• Paul K. Shitabata, M.D.
• Michael Olufemi Shodiya
• Kent T Shoji, MD
• Pardeep K Shori, DO
• Andrew Shover
• Nadine Shozuya, L.AC

• Dental Clinic/Center in Torrance, CA
• Providers in Torrance, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.