Healthcare Provider Details

I. General information

NPI: 1508927195
Provider Name (Legal Business Name): TORRANCE MEMORIAL MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/13/2006
Last Update Date: 05/12/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3330 LOMITA BLVD BUILDING 1 SOUTH
TORRANCE CA
90505-5002
US

IV. Provider business mailing address

3330 LOMITA BLVD BUILDING 1 SOUTH
TORRANCE CA
90505-5002
US

V. Phone/Fax

Practice location:
  • Phone: 310-784-3739
  • Fax: 310-784-3717
Mailing address:
  • Phone: 310-784-3739
  • Fax: 310-784-3717

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number980000483
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number980000483
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number980000483
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number980000483
License Number StateCA

VIII. Authorized Official

Name: MRS. THERESA M. FERRY
Title or Position: ADMINISTRATOR
Credential: RN, BSN
Phone: 310-784-3739