Healthcare Provider Details

I. General information

NPI: 1760047708
Provider Name (Legal Business Name): TORRANCE POST ACUTE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2019
Last Update Date: 08/07/2020
Certification Date: 08/07/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22520 MAPLE AVE
TORRANCE CA
90505-2705
US

IV. Provider business mailing address

6442 COLDWATER CANYON AVE STE 100
NORTH HOLLYWOOD CA
91606-1191
US

V. Phone/Fax

Practice location:
  • Phone: 310-326-9131
  • Fax:
Mailing address:
  • Phone: 917-842-8361
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: ABE BAK
Title or Position: OWNER
Credential:
Phone: 818-853-5760