Healthcare Provider Details
I. General information
NPI: 1205206406
Provider Name (Legal Business Name): TORRANCE HEALTH ASSOCIATION INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/30/2015
Last Update Date: 12/27/2019
Certification Date: 12/27/2019
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3285 SKYPARK DR
TORRANCE CA
90505-5004
US
IV. Provider business mailing address
23326 HAWTHORNE BLVD SUITE 200
TORRANCE CA
90505-3725
US
V. Phone/Fax
- Phone: 310-750-3300
- Fax: 310-379-3567
- Phone: 310-257-7205
- Fax: 310-598-3119
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 183500000X |
| Taxonomy | Pharmacist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1835X0200X |
| Taxonomy | Oncology Pharmacist |
| License Number | |
| License Number State | CA |
VIII. Authorized Official
Name: MRS.
HEIDI
ASSIGAL
Title or Position: VICE PRESIDENT
Credential:
Phone: 310-784-8795