NPIMap

Organization Active NPI

California Neuro-Rehabilitation Institute, Inc.

  • Physical Therapist
  • Los Angeles, CA
National Provider Identifier
1336209659
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
32717 Issued in CA
Legal business name
CALIFORNIA NEURO-REHABILITATION INSTITUTE, INC.
Practice address
520 S Virgil Ave
#401
Los Angeles, CA 90020-1416
Phone
(213) 480-0021
NPI assigned
Dec 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Seonweon Kim, P.T.NPI 1760544886
Title
Cfo
Phone
(213) 480-0021

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 32717 CA Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 27249 CA

Addresses

Primary practice location

520 S Virgil Ave
#401
Los Angeles, CA 90020-1416

Mailing address

520 S Virgil Ave
#401
Los Angeles, CA 90020-1416
Phone (213) 480-0021

National Provider Directory

National Provider Directory

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": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336209659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 S VIRGIL AVE",
            "address_2": "#401",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900201416",
            "telephone_number": "213-480-0021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 S VIRGIL AVE",
            "address_2": "#401",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900201416",
            "telephone_number": "213-480-0021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA NEURO-REHABILITATION INSTITUTE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "SEONWEON",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "213-480-0021",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "32717",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "27249",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.