Oac Southern Medical Professional Corp

Primary specialty

Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X

License

005474 Issued in CA

Legal business name

OAC SOUTHERN MEDICAL PROFESSIONAL CORP

Practice address

23430 Hawthorne Blvd
125
Torrance, CA 90505-4720

Phone

(310) 373-0555

Fax

(310) 373-5655

NPI assigned

Aug 8, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Maryam Rahimi, D.O.

Title

Doctor

Phone

(310) 373-0555

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1312761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342396800000",
    "number": "1447539523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23430 HAWTHORNE BLVD",
            "address_2": "125",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054720",
            "telephone_number": "310-373-0555",
            "fax_number": "310-373-5655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23430 HAWTHORNE BLVD",
            "address_2": "125",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054720",
            "telephone_number": "310-373-0555",
            "fax_number": "310-373-5655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAC SOUTHERN MEDICAL PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-08",
        "last_updated": "2012-07-16",
        "status": "A",
        "authorized_official_last_name": "RAHIMI",
        "authorized_official_first_name": "MARYAM",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "310-373-0555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "CA",
            "license": "005474",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA LICENSE",
            "identifier": "20A10143",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clea C O'Kieffe
• Erin O'Mahony, PT, DPT
• Monica Pearl O'Malley
• Mark O'Neal
• Kevin Patrick O'Toole, OTR
• Sabine Obagi
• Chinyere Sarah Obasi
• Catherine L Oberg, M.D.
• Meena Oberoi, M.D.
• Nmachi Obiwuru, OTD, OTR/L

• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Torrance, CA
• Providers in Torrance, CA by specialty
• Sports Medicine (Physical Medicine & Rehabilitation) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2012; 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.