South Bay Senior Health, Inc.

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

SOUTH BAY SENIOR HEALTH, INC.

Doing business as

South Bay Adult Day Health Care

Practice address

1045 W Redondo Beach Blvd
Gardena, CA 90247-4128

Phone

(213) 793-8763

NPI assigned

Nov 21, 2023

Organization subpart

No

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

Authorized official

Name

Taewoong Kim

Title

President

Phone

(213) 793-8763

Specialties & licenses 1

Addresses

Other names 1

• South Bay Adult Day Health Care Doing business as

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

{
    "created_epoch": "1700524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700524800000",
    "number": "1831964600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22903 ADOLPH AVE",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905053545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 W REDONDO BEACH BLVD",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902474128",
            "telephone_number": "213-793-8763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH BAY SENIOR HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-21",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "TAEWOONG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-793-8763"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Bay Adult Day Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Monica Cecilia Soto
• Chantal Sotomayor, OTR
• South Atlantic Medical Group
• South Bay Companies Group, Inc.
• South Bay Family Healthcare Center
• Southbay Advance Medical Group, Inc.
• Emily Parrish Southwell, DPT
• Samantha Jane Spadaro, NONE
• Cheryl Sparks
• Special Service for Groups, Inc.

• Adult Day Care Clinic/Center in Gardena, CA
• Providers in Gardena, CA by specialty
• Adult Day Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2023; 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.