Healthcare Provider Details

I. General information

NPI: 1013107093
Provider Name (Legal Business Name): TORRANCE ORTHOPEDIC PHYSICAL THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/26/2007
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23456 HAWTHORNE BLVD SUITE 300 B
TORRANCE CA
90505
US

IV. Provider business mailing address

23456 HAWTHORNE BLVD SUITE 300 B
TORRANCE CA
90505
US

V. Phone/Fax

Practice location:
  • Phone: 310-540-7381
  • Fax: 310-316-1788
Mailing address:
  • Phone: 310-540-7381
  • Fax: 310-316-1788

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StateCA

VIII. Authorized Official

Name: JEANNETTE A ESPARZA
Title or Position: BILLING ADM
Credential:
Phone: 714-315-9654