Healthcare Provider Details

I. General information

NPI: 1245483437
Provider Name (Legal Business Name): THERAPEUTICA INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/31/2008
Last Update Date: 08/23/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24548 HAWTHORNE BLVD
TORRANCE CA
90505-6807
US

IV. Provider business mailing address

24548 HAWTHORNE BLVD
TORRANCE CA
90505-6807
US

V. Phone/Fax

Practice location:
  • Phone: 310-373-5656
  • Fax: 310-373-4441
Mailing address:
  • Phone: 310-373-5656
  • Fax: 310-373-4441

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number30838
License Number StateCA

VIII. Authorized Official

Name: DR. SALVADORE KERKAR
Title or Position: PRESIDENT
Credential: DC.
Phone: 310-373-5656