MEDICARE: DR. ROMAN ANDREW LITWINSKI M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2086S0129X	Vascular Surgery Physician	A87634	CA

General Provider Information

NPI Number	:	1558318022
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROMAN ANDREW LITWINSKI M.D.

Provider Business Mailing Address
First Line	:	23451 MADISON ST
Second Line	:	SUITE 340
City	:	TORRANCE
State	:	CA
Zip	:	90505-4763
Country	:	US
Telephone Number	:	310-373-6864
Fax Number	:	310-373-9547

Provider Business Practice Location Address
First Line	:	23451 MADISON ST
Second Line	:	SUITE 340
City	:	TORRANCE
State	:	CA
Zip	:	90505-4763
Country	:	US
Telephone Number	:	310-373-6864
Fax Number	:	310-373-9547

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/28/2006
Last Update Date	:	07/02/2013

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