MEDICARE: TORRANCE RADIATION ONCOLOGY ASSOCIATES

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	261QX0203X	Radiation Oncology Clinic/Center

General Provider Information

NPI Number	:	1720009640
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TORRANCE RADIATION ONCOLOGY ASSOCIATES

Provider Business Mailing Address
First Line	:	PO BOX 14556
Second Line	:	BUSINESS OFFICE
City	:	TORRANCE
State	:	CA
Zip	:	90503-8556
Country	:	US
Telephone Number	:	310-517-4785
Fax Number	:	310-784-4820

Provider Business Practice Location Address
First Line	:	510 N PROSPECT AVE
Second Line	:	#104
City	:	REDONDO BEACH
State	:	CA
Zip	:	90277-3028
Country	:	US
Telephone Number	:	310-374-5417
Fax Number	:

Authorized Official
Title or Position	:	PARTNER
Name	:	DR. THOMAS SIMKO
Credential	:	MD
Telephone Number	:	310-374-5417

Provider Enumeration Date	:	07/23/2006
Last Update Date	:	07/01/2008

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