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NPI Code Detail

MEDICARE: TORRANCE LOMITA COMMUNITY HEALTH CENTER

MEDICARE: TORRANCE LOMITA COMMUNITY HEALTH CENTER
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
1122300000XDentist
2261QC1500XCommunity Health Clinic/Center
3261QF0050XNon-Surgical Family Planning Clinic/Center
4261QH0100XHealth Service Clinic/Center
5261QP2000XPhysical Therapy Clinic/Center
6261QP2300XPrimary Care Clinic/Center
7261QX0100XOccupational Medicine Clinic/Center
8261QF0400XFederally Qualified Health Center (FQHC)

General Provider Information

NPI Number : 1679182216
Entity Type Code : Organization
Provider Name (Legal Business Name) : TORRANCE LOMITA COMMUNITY HEALTH CENTER
Provider Business Mailing Address
First Line : 25043 NARBONNE AVE
Second Line :
City : LOMITA
State : CA
Zip : 90717-2101
Country : US
Telephone Number : 424-251-8388
Fax Number :
Provider Business Practice Location Address
First Line : 25043 NARBONNE AVE
Second Line :
City : LOMITA
State : CA
Zip : 90717-2101
Country : US
Telephone Number : 424-251-8388
Fax Number : 424-251-8389
Authorized Official
Title or Position : CEO
Name : DMITRIY GRINBERG
Credential :
Telephone Number : 424-251-8388
Provider Enumeration Date : 07/29/2020
Last Update Date : 07/29/2020

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Directions to “TORRANCE LOMITA COMMUNITY HEALTH CENTER ” Practice Location

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