Healthcare Provider Details

I. General information

NPI: 1598296410
Provider Name (Legal Business Name): TORRANCE HEALTH ASSOCIATION INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/22/2017
Last Update Date: 08/16/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23560 CRENSHAW BLVD SUITE 102
TORRANCE CA
90505-5233
US

IV. Provider business mailing address

23326 HAWTHORNE BLVD SUITE 200
TORRANCE CA
90505-3725
US

V. Phone/Fax

Practice location:
  • Phone: 310-784-2355
  • Fax: 310-517-1817
Mailing address:
  • Phone: 310-257-7205
  • Fax: 310-598-3117

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: SALLY EBERHARD
Title or Position: SENIOR VICE PRESIDENT
Credential:
Phone: 310-325-9110