Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Johnsam Kyle Bak

Individual provider Physical Therapist · NPI 1942914387

Johnsam Kyle Bak is a Physical Therapist in Gardena, California. Licensed in California. Registered with an NPI since 2023.

Licensed in
CA
In the registry since
2023

Practice location Address checks out

1045 W Redondo Beach Blvd
Gardena, CA 90247-4128
Phone: (310) 329-1444
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 303375 (CA)

Record details

NPI number1942914387
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 10, 2023
Last updated in NPPESJanuary 10, 2023
Certification dateJanuary 10, 2023
Mailing address2810 Redondo Beach Blvd, Torrance, CA 90504-1531

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