Healthcare Provider Details

I. General information

NPI: 1184048712
Provider Name (Legal Business Name): TORRANCE EMERGENCY PHYSICIANS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/18/2014
Last Update Date: 10/28/2024
Certification Date: 10/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3330 LOMITA BLVD
TORRANCE CA
90505-5002
US

IV. Provider business mailing address

2900 LOMITA BLVD
TORRANCE CA
90505-5102
US

V. Phone/Fax

Practice location:
  • Phone: 310-784-4997
  • Fax:
Mailing address:
  • Phone: 424-262-1264
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberG47773
License Number StateCA

VIII. Authorized Official

Name: DR. KURT HANSEN
Title or Position: CFO
Credential: MD
Phone: 310-325-9110