Dynamic Physical Medicine Inc.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

C51512 Issued in CA

Legal business name

DYNAMIC PHYSICAL MEDICINE INC.

Practice address

28727 S Western Ave
Rancho Palos Verdes, CA 90275-0800

Phone

(310) 547-4005

NPI assigned

Feb 24, 2009

Last updated

Feb 24, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David Dawson, D.C.NPI 1043341746

Title

President

Phone

(310) 547-4005

Specialties & licenses 2

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Dawson, DC

  • Chiropractor
  • Rancho Palos Verdes, CA
  • NPI 1043341746
  Authorized official Same address or phone
• Lisa Antoinette Micheli-Dawson, D.C.

  • Chiropractor
  • Rancho Palos Verdes, CA
  • NPI 1891529632
  NPD

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

{
    "created_epoch": "1235433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235433600000",
    "number": "1598905994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28727 S WESTERN AVE",
            "city": "RANCHO PALOS VERDES",
            "state": "CA",
            "postal_code": "902750800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28727 S WESTERN AVE",
            "city": "RANCHO PALOS VERDES",
            "state": "CA",
            "postal_code": "902750800",
            "telephone_number": "310-547-4005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC PHYSICAL MEDICINE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-24",
        "last_updated": "2009-02-24",
        "status": "A",
        "authorized_official_last_name": "DAWSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-547-4005",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC-25427",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "C51512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Divine Wellness Spa
• Doctor Zo DC
• Susan Douglas, M.D.
• Susan G. Dragoo, RDHAP
• David Bruce Draper, MFT, PSYD
• Marie Louise Earvolino-Ramirez, NP
• Elite Senior Services, Inc. (The Senior Shuttle)
• Tommy Antwan Ellerbe, OTR / L
• Emerald Isle Assisted Living, Inc.
• Eric Lai Chiropractic Corporation

• Physical Medicine & Rehabilitation Physician in Rancho Palos Verdes, CA
• Providers in Rancho Palos Verdes, CA by specialty
• Physical Medicine & Rehabilitation Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2009; 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.