BONGSOO EDWIN LEE D.C.
NPI 1285721589
Chiropractor - Sports Physician in Torrance, CA

Active since October 06, 2006Accepts Medicare Assignment
4305 TORRANCE BLVD, SUITE 400, TORRANCE, CA 90503(310) 530-3032 Get Directions Write a Review

NPPES record last updated: December 31, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Bongsoo Edwin Lee D.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BONGSOO EDWIN LEE D.C. (NPI 1285721589) is an individual sports physician in Torrance, California, licensed in California (20285) and active in the NPI registry since October 2006. He is a graduate of Los Angeles College Of Chiropractic (1989).

NPPES Registry Identity

NPI1285721589
Entity TypeIndividualMale
Primary Taxonomy111NS0005X
Provider Legal NameBONGSOO EDWIN LEECredential: D.C.
Location Address4305 TORRANCE BLVD, SUITE 400Torrance, CA 90503-4409
Mailing Address4305 Torrance Blvd., Suite 400Torrance, CA 90503-4404 · (310) 530-3032
Sole ProprietorYes
Medical School CMSLos Angeles College Of ChiropracticGraduated 1989
Enumeration DateOctober 6, 2006
Last NPPES UpdateDecember 31, 2008
NPI 1285721589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractor · Sports PhysicianChiropractic Providers
Taxonomy Code111NS0005X
License Licensed in CA · 20285
Definition

A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities.

4305 TORRANCE BLVD, Torrance, CA 90503

Other Identifiers 2

Medicare UPINU36737CA
Medicare ID-Type UnspecifiedDC20285CA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Bongsoo Edwin Lee D.c. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8224190376
PECOS Enrollment IDI20081224000005

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 1-2 spinal regions 98940
Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's physical function. In this service, a chiropractor applies controlled force to 1-2 spinal regions. This helps to restore mobility and alleviate discomfort in those areas.
67 services14 patients

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Cardiovascular Disease)
4305 TORRANCE BLVD, STE 405
TORRANCE, CA 90503
Psychologist (Clinical)
4305 TORRANCE BLVD, STE 300
TORRANCE, CA 90503
Dentist (General Practice)
4305 TORRANCE BLVD, SUITE 102
TORRANCE, CA 90503
General Practice
4305 TORRANCE BLVD, SUITE # 506
TORRANCE, CA 90503
Nurse Practitioner
4305 TORRANCE BLVD, SUITE #106
TORRANCE, CA 90503
Emergency Medicine
4305 TORRANCE BLVD
TORRANCE, CA 90503
Urology
4305 TORRANCE BLVD, 109
TORRANCE, CA 90503
Psychologist
4305 TORRANCE BLVD, SUITE 300
TORRANCE, CA 90503

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285721589, enumerated as an "individual" on October 06, 2006.

The provider is located at 4305 TORRANCE BLVD SUITE 400 TORRANCE, CA 90503 and the phone number is (310) 530-3032.

Chiropractor with taxonomy code 111NS0005X and a focus in Sports Physician.

The provider might be accepting Accepts: Providence Health Plan, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.