Healthcare Provider Details

I. General information

NPI: 1881514461
Provider Name (Legal Business Name): SUMMIT INFUSION CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19000 HAWTHORNE BLVD SUITE 204
TORRANCE CA
90503
US

IV. Provider business mailing address

19000 HAWTHORNE BLVD SUITE 204
TORRANCE CA
90503
US

V. Phone/Fax

Practice location:
  • Phone: 949-416-8235
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QI0500X
TaxonomyInfusion Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: NEIL SHAH
Title or Position: MD
Credential:
Phone: 949-416-8235