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NPI Code Detail

MEDICARE: TORRANCE CLINICAL RESEARCH INSTITUTE INC.

MEDICARE: TORRANCE CLINICAL RESEARCH INSTITUTE INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QP2300XPrimary Care Clinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1A49056OTHERSTATE LICENSE

General Provider Information

NPI Number : 1093083313
Entity Type Code : Organization
Provider Name (Legal Business Name) : TORRANCE CLINICAL RESEARCH INSTITUTE INC.
Provider Business Mailing Address
First Line : 25043 NARBONNE AVE
Second Line :
City : LOMITA
State : CA
Zip : 90717-2101
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 25043 NARBONNE AVE
Second Line :
City : LOMITA
State : CA
Zip : 90717-2101
Country : US
Telephone Number : 310-373-8120
Fax Number :
Authorized Official
Title or Position : DIRECTOR/OWNER
Name : MARINA RAIKHEL
Credential : M.D.
Telephone Number : 310-373-8120
Provider Enumeration Date : 12/01/2011
Last Update Date : 03/07/2023

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Directions to “TORRANCE CLINICAL RESEARCH INSTITUTE INC. ” Practice Location

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