Redondo Beach Physical Medicine

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A118026 Issued in CA

Legal business name

REDONDO BEACH PHYSICAL MEDICINE

Practice address

901 N Pacific Coast Hwy Ste 101
Redondo Beach, CA 90277-2162

Phone

(310) 379-3303

NPI assigned

Nov 9, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Ivan Sanchez, DC

Title

Manager

Phone

(310) 379-3303

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1510185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510185600000",
    "number": "1992218101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 N PACIFIC COAST HWY STE 101",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902772162",
            "telephone_number": "310-379-3303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 N PACIFIC COAST HWY STE 101",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902772162",
            "telephone_number": "310-379-3303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDONDO BEACH PHYSICAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-09",
        "last_updated": "2017-11-09",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "IVAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "310-379-3303",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A118026",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NPF95007657",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelli Rea, LMFT
• Reach Beyond Therapy Inc
• Rebecca Salamo MD Inc
• George Joseph Rederich, M.D.
• Redondo Beach Dental Arts
• Redondo Beach Podiatry Group, Inc.
• Redondo Beach Unified School District
• Redondo Beach Unified School District
• Lisa Reed, PT, DPT
• Albert A. Reff, M.D.

• Internal Medicine Physician in Redondo Beach, CA
• Providers in Redondo Beach, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2017; 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.