Organization Active NPI

Laura Toyono Jong MD - Neurology

  • Neurology Physician
  • Torrance, CA
National Provider Identifier
1174894935
Registry record updated Jan 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
G82124 Issued in CA
Legal business name
LAURA TOYONO JONG MD - NEUROLOGY
Practice address
23430 Hawthorne Blvd
Suite 280
Torrance, CA 90505-4764
Phone
(310) 373-7310
Fax
(310) 373-7315
NPI assigned
Jan 25, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2012

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

Authorized official

Name
Laura T Jong, MDNPI 1982701355
Title
Owner
Phone
(310) 373-7310

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X G82124 CA Primary

Addresses

Primary practice location

23430 Hawthorne Blvd
Suite 280
Torrance, CA 90505-4764

Mailing address

23430 Hawthorne Blvd
Suite 280
Torrance, CA 90505-4764
Phone (310) 373-7310

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120502000484 CA Part B Supplier - Clinic/Group Practice 1557523826 Receives reassigned benefits from 1 practitioner
Practice locations: Rolling Hills Estates, CA

National Provider Directory

National Provider Directory

Locations

4000 Palos Verdes Dr N
Ste 104
Rolling Hills Estates, CA 90274
Phone (310) 373-7310

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": "1327449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327449600000",
    "number": "1174894935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23430 HAWTHORNE BLVD",
            "address_2": "SUITE 280",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054764",
            "telephone_number": "310-373-7310",
            "fax_number": "310-373-7315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23430 HAWTHORNE BLVD",
            "address_2": "SUITE 280",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054764",
            "telephone_number": "310-373-7310",
            "fax_number": "310-373-7315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURA TOYONO JONG MD - NEUROLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-25",
        "last_updated": "2012-01-25",
        "status": "A",
        "authorized_official_last_name": "JONG",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-373-7310",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "G82124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.