Active NPI
Richard Zoo Jin, PT
- Physical Therapist
- Torrance, CA
National Provider Identifier
1467621938
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 33300
- Practice address
- 23430 Hawthorne Blvd
BLDG. 3 Suite 105
Torrance, CA 90505-4720 - Phone
- (310) 465-2477
- NPI assigned
- Feb 28, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 33300 | CA | Primary |
Addresses
Primary practice location
23430 Hawthorne Blvd
BLDG. 3 Suite 105
Torrance, CA 90505-4720
Mailing address
23430 Hawthorne Blvd
BLDG. 3, Ste 105
Torrance, CA 90505-4720
Phone (310) 465-2477
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33300 | Other | CA | PHYSICAL THERAPY LICENSE |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33300 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Medical Group Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206057600000",
"number": "1467621938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23430 HAWTHORNE BLVD",
"address_2": "BLDG. 3, STE 105",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905054720",
"telephone_number": "310-465-2477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23430 HAWTHORNE BLVD",
"address_2": "BLDG. 3 SUITE 105",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905054720",
"telephone_number": "310-465-2477"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JIN",
"first_name": "RICHARD",
"middle_name": "ZOO",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-02-28",
"last_updated": "2008-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "33300",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPY LICENSE",
"identifier": "33300",
"state": "CA"
}
],
"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 Mar 21, 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.