MEDICARE: DR. MAURO S TORNO M.D.

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
1	207R00000X	Internal Medicine Physician	A052189	CA

General Provider Information

NPI Number	:	1144222803
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MAURO S TORNO M.D.

Provider Business Mailing Address
First Line	:	9019 GEORGETOWN WAY
Second Line	:
City	:	BUENA PARK
State	:	CA
Zip	:	90620-4632
Country	:	US
Telephone Number	:	714-821-3990
Fax Number	:	714-821-3990

Provider Business Practice Location Address
First Line	:	2525 GRAND AVE
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90815-1765
Country	:	US
Telephone Number	:	562-570-4317
Fax Number	:	562-570-4033

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/12/2005
Last Update Date	:	05/07/2008

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