Healthcare Provider Details

I. General information

NPI: 1689348369
Provider Name (Legal Business Name): TORRANCE PHARMACY LTC INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2021
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17209 S FIGUEROA ST STE A
GARDENA CA
90248-3010
US

IV. Provider business mailing address

17209 S FIGUEROA ST STE A
GARDENA CA
90248-3010
US

V. Phone/Fax

Practice location:
  • Phone: 424-250-1702
  • Fax: 424-250-1702
Mailing address:
  • Phone: 424-250-1702
  • Fax: 424-250-1702

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MR. AMIR TABATABAI
Title or Position: PRESIDENT/PIC
Credential:
Phone: 424-250-1702