Individual provider Active NPI

Hyeseong Choi

  • Physical Therapy Clinic/Center
  • Torrance, CA
National Provider Identifier
1619633872
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
301030 Issued in CA
Practice address
23430 Hawthorne Blvd Ste 105
Torrance, CA 90505-4777
Phone
(310) 791-3812
Fax
(310) 373-4686
NPI assigned
Nov 11, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 301030 CA Primary

Addresses

Primary practice location

23430 Hawthorne Blvd Ste 105
Torrance, CA 90505-4777

Mailing address

PO Box 35380
Las Vegas, NV 89133-5380

Other practice location 1

675 N Park Ave
Pomona, CA 91768-3622
Phone (626) 333-3172

Other practice location 2

701 E 28th St Ste 111
Long Beach, CA 90806-2715
Phone (626) 333-3172

Other identifiers 1

IdentifierTypeStateIssuer
301030OtherCAPHYSICAL THERAPY BOARD OF CALIFORNIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221229001764 CA Practitioner - Physical Therapist in Private Practice 2264802677 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
301030CAMDPhysical Therapy Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Permanente Medical Group CurrentSince Mar 4, 2025 Accepting new patients
Stevenson Orthopaedic Medical Clinic Physical Therapy CurrentSince Sep 21, 2022 Accepting new patients
RJ Physical Therapy Group Inc CurrentSince Sep 21, 2022 Accepting new patients
Southern California Permanente Medical Group Physical Therapy Current Accepting new patients
Southern California Permanente Medical Group CurrentSince Mar 4, 2025 Accepting new patients

Locations

25825 Vermont Ave
Harbor City, CA 90710
Phone (310) 325-5111

575 E Hardy St
Ste 105
Inglewood, CA 90301
Phone (310) 412-0100

393 E Walnut St
Fl 5
Pasadena, CA 91188
Phone (310) 403-3235

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1636588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1619633872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35380",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891335380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23430 HAWTHORNE BLVD STE 105",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054777",
            "telephone_number": "310-791-3812",
            "fax_number": "310-373-4686"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "675 N Park Ave",
            "address_purpose": "LOCATION",
            "city": "Pomona",
            "state": "CA",
            "postal_code": "917683622",
            "country_code": "US",
            "telephone_number": "626-333-3172",
            "fax_number": "626-333-3163",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "701 E 28th St Ste 111",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908062715",
            "country_code": "US",
            "telephone_number": "626-333-3172",
            "fax_number": "626-333-3163",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHOI",
        "first_name": "HYESEONG",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-11-11",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "301030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY BOARD OF CALIFORNIA",
            "identifier": "301030",
            "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 Sep 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.