Biosphere Comprehensive Longevity Center Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT19593 Issued in CA

Legal business name

BIOSPHERE COMPREHENSIVE LONGEVITY CENTER INC.

Practice address

23133 Hawthorne Blvd
#103
Torrance, CA 90505-3729

Phone

(310) 378-3456

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Dina A Malo, RPTNPI 1306910039

Title

Director

Phone

(310) 378-3456

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Dina A Malo, RPT

  • Physical Therapist
  • Torrance, CA
  • NPI 1306910039
  NPD (past) Authorized official
• Andrew E Ochs, RPT

  • Physical Therapist
  • Torrance, CA
  • NPI 1265505135
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211500800000",
    "number": "1306943683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 MONTEREY BLVD",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902543783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23133 HAWTHORNE BLVD",
            "address_2": "#103",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905053729",
            "telephone_number": "310-378-3456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIOSPHERE COMPREHENSIVE LONGEVITY CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2008-05-23",
        "status": "A",
        "authorized_official_last_name": "MALO",
        "authorized_official_first_name": "DINA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "310-378-3456",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT19593",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY LICENSE",
            "identifier": "PT19593",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nahaal Binazir
• Tina Marie Binda, MFT
• Elijah Grey Bingham, MD
• Biohorizon Medical, Inc.
• Bioplus Specialty Infusion Ca, LLC
• Biox Labs Inc
• Melissa Biri, RDH
• Ron Alexander Birnbaum, M.D,
• Diane M Birnbaumer, M.D.
• Michelle Lynn Bischoff, D.D.S.

• Physical Therapist in Torrance, CA
• Providers in Torrance, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2008; 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.