Healthcare Provider Details

I. General information

NPI: 1669542841
Provider Name (Legal Business Name): GRETCHEN S LENT MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/08/2006
Last Update Date: 10/31/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3330 LOMITA BLVD. TORRANCE MEMORIAL MEDICAL CENTER, EMERGENCY DEPT.
TORRANCE CA
90505
US

IV. Provider business mailing address

162 VIA MONTE DORO
REDONDO BEACH CA
90277-6440
US

V. Phone/Fax

Practice location:
  • Phone: 310-325-9110
  • Fax:
Mailing address:
  • Phone: 917-817-0434
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number235300
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: