Healthcare Provider Details
I. General information
NPI: 1205192291
Provider Name (Legal Business Name): TORRANCE FAMILY AND URGENT CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/04/2012
Last Update Date: 04/04/2012
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2573 PACIFIC COAST HWY SUITE B
TORRANCE CA
90505-7949
US
IV. Provider business mailing address
2980 N BEVERLY GLEN CIR SUITE 301
LOS ANGELES CA
90077-1726
US
V. Phone/Fax
- Phone: 310-997-1796
- Fax:
- Phone: 310-474-9809
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332900000X |
| Taxonomy | Non-Pharmacy Dispensing Site |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
MEHDI
TAHSINI
Title or Position: PRESIDENT
Credential: MD
Phone: 310-997-1796