Healthcare Provider Details

I. General information

NPI: 1285554071
Provider Name (Legal Business Name): SOUTH BAY DIZZINESS & VERTIGO PHYSICAL THERAPY, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23750 PENNSYLVANIA AVE
TORRANCE CA
90501-5939
US

IV. Provider business mailing address

24325 CRENSHAW BLVD UNIT 1408
TORRANCE CA
90505-5349
US

V. Phone/Fax

Practice location:
  • Phone: 310-803-9959
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: GINO GONZALEZ
Title or Position: PRESIDENT
Credential:
Phone: 310-803-9959