Organization Active NPI

Jay'S Golf Academy Inc.

  • Optician
  • Torrance, CA
National Provider Identifier
1083969232
Registry record updated Jul 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
SL5735 Issued in CA
Legal business name
JAY'S GOLF ACADEMY INC.
Practice address
24228 Crenshaw Blvd
Torrance, CA 90505-5303
Phone
(310) 539-2449
NPI assigned
Jul 13, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2012

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

Authorized official

Name
Mr. Jae Hoon Cho
Title
Ceo
Phone
(310) 539-2449

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X SL5735 CA Primary

Addresses

Primary practice location

24228 Crenshaw Blvd
Torrance, CA 90505-5303

Mailing address

24228 Crenshaw Blvd
Torrance, CA 90505-5303
Phone (310) 539-2449

Other names 1

  • Venice Optical Doing business as

National Provider Directory

National Provider Directory

Locations

24228 Crenshaw Blvd
Torrance, CA 90505
Phone (310) 539-2449

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1342137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342137600000",
    "number": "1083969232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24228 CRENSHAW BLVD",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905055303",
            "telephone_number": "310-539-2449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24228 CRENSHAW BLVD",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905055303",
            "telephone_number": "310-539-2449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY'S GOLF ACADEMY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-13",
        "last_updated": "2012-07-13",
        "status": "A",
        "authorized_official_last_name": "CHO",
        "authorized_official_first_name": "JAE HOON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-539-2449",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "CA",
            "license": "SL5735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Venice Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2012; 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.