IndividualActive
Jason Park, PT, DPT, SCS
NPI 1629561667 · Sports Physical Therapist · Torrance, CA
Provider details
- NPI number
- 1629561667
- Entity type
- Individual
- Primary specialty
- Sports Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT, DPT, SCS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 42232 (CA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
2440 W Carson St
Torrance, CA 90501-3146
Phone: (310) 701-9971
Approximate (ZIP-level) locationGet directions
Mailing address
1506 Venice Blvd Apt 207
Venice, CA 90291-5925
Registry dates
- Enumerated
- 2018-06-13
- Last updated
- 2018-06-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.