1003145046 NPI number — TORRANCE EMERGENCY CARE ASSOCIATES, INC.

Table of content: (NPI 1003145046)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1003145046 NPI number — TORRANCE EMERGENCY CARE ASSOCIATES, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TORRANCE EMERGENCY CARE ASSOCIATES, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1003145046
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/05/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
855 MANHATTAN BEACH BLVD
Provider Second Line Business Mailing Address:
SUITE 101
Provider Business Mailing Address City Name:
MANHATTAN BEACH
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
90266-4965
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
310-939-7873
Provider Business Mailing Address Fax Number:
310-939-7856

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3105 LOMITA BLVD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TORRANCE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90505-5108
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
310-784-3706
Provider Business Practice Location Address Fax Number:
310-517-4687
Provider Enumeration Date:
12/22/2009

Additional Information

Authorized Official

Authorized Official Last Name:
MIURA
Authorized Official First Name:
BRIAN
Authorized Official Middle Name:
R
Authorized Official Title or Position:
MEDICAL DIRECTOR
Authorized Official Telephone Number:
310-939-7873

Provider Taxonomy Codes

  • Taxonomy code: 207PE0004X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com