Organization Active NPI

Southbay Galleria Optometric

  • Optometrist
  • Redondo Beach, CA
National Provider Identifier
1265190656
Registry record updated Dec 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
SOUTHBAY GALLERIA OPTOMETRIC
Practice address
1815 Hawthorne Blvd Ste 236
Redondo Beach, CA 90278-3437
Phone
(310) 370-9598
Fax
(310) 371-3126
NPI assigned
Dec 2, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2021

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

Authorized official

Name
Dr. Gurinder S Multani, OD
Title
OD/Owner
Phone
(310) 370-9598

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

1815 Hawthorne Blvd Ste 236
Redondo Beach, CA 90278-3437

Mailing address

1815 Hawthorne Blvd Ste 236
Redondo Beach, CA 90278-3437
Phone (310) 370-9598

National Provider Directory

National Provider Directory

Locations

1815 Hawthorne Blvd
Redondo Beach, CA 90278
Phone (310) 370-9598

1815 Hawthorne Blvd
Ste 236
Redondo Beach, CA 90278
Phone (310) 370-1618

NPI Registry JSON

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

{
    "created_epoch": "1638403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638403200000",
    "number": "1265190656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 HAWTHORNE BLVD STE 236",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902783437",
            "telephone_number": "310-370-9598",
            "fax_number": "310-371-3126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 HAWTHORNE BLVD STE 236",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902783437",
            "telephone_number": "310-370-9598",
            "fax_number": "310-371-3126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHBAY GALLERIA OPTOMETRIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-02",
        "last_updated": "2021-12-02",
        "certification_date": "2021-12-02",
        "status": "A",
        "authorized_official_last_name": "MULTANI",
        "authorized_official_first_name": "GURINDER",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OD/OWNER",
        "authorized_official_telephone_number": "310-370-9598",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "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 Dec 2, 2021; 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.