Active NPI
Philip Yim, CRT, ARRT
- Vascular-Interventional Technology Radiologic Technologist
- Torrance, CA
National Provider Identifier
1336971407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular-Interventional Technology Radiologic Technologist
- License
- RHF40766
- Practice address
- 3330 Lomita Blvd
Torrance, CA 90505-5002 - Phone
- (310) 517-4675
- NPI assigned
- Aug 16, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiography Radiologic Technologist | 2471C3402X | RHF40766 | CA | |
| Vascular-Interventional Technology Radiologic Technologist | 2471V0106X | RHF40766 | CA | Primary |
Addresses
Primary practice location
3330 Lomita Blvd
Torrance, CA 90505-5002
Mailing address
3531 W 185TH St
Torrance, CA 90504-4918
Phone (310) 408-5646
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RHF40766 | CA | MD | Vascular-Interventional Technology Radiologic Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723766400000",
"number": "1336971407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3531 W 185TH ST",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905044918",
"telephone_number": "310-408-5646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3330 LOMITA BLVD",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905055002",
"telephone_number": "310-517-4675"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YIM",
"first_name": "PHILIP",
"credential": "CRT, ARRT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-08-16",
"last_updated": "2024-08-16",
"certification_date": "2024-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "2471C3402X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Radiography",
"state": "CA",
"license": "RHF40766",
"primary": false
},
{
"code": "2471V0106X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Vascular-Interventional Technology",
"state": "CA",
"license": "RHF40766",
"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 Aug 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.