Healthcare Provider Details

I. General information

NPI: 1720009640
Provider Name (Legal Business Name): TORRANCE RADIATION ONCOLOGY ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2006
Last Update Date: 07/01/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

510 N PROSPECT AVE #104
REDONDO BEACH CA
90277-3028
US

IV. Provider business mailing address

PO BOX 14556 BUSINESS OFFICE
TORRANCE CA
90503-8556
US

V. Phone/Fax

Practice location:
  • Phone: 310-374-5417
  • Fax:
Mailing address:
  • Phone: 310-517-4785
  • Fax: 310-784-4820

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QX0203X
TaxonomyRadiation Oncology Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. THOMAS SIMKO
Title or Position: PARTNER
Credential: MD
Phone: 310-374-5417