1841721768 NPI number — TORRANCE HEALTH ASSOCIATION INC

Table of content: (NPI 1841721768)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1841721768 NPI number — TORRANCE HEALTH ASSOCIATION INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TORRANCE HEALTH ASSOCIATION 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:
1841721768
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/16/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
23326 HAWTHORNE BLVD
Provider Second Line Business Mailing Address:
SUITE 200
Provider Business Mailing Address City Name:
TORRANCE
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
90505-3725
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
310-257-7205
Provider Business Mailing Address Fax Number:
310-598-3119

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
705 PIER AVE
Provider Second Line Business Practice Location Address:
SUITE B
Provider Business Practice Location Address City Name:
HERMOSA BEACH
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90254-3941
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
310-784-2355
Provider Business Practice Location Address Fax Number:
310-517-1817
Provider Enumeration Date:
03/22/2017

Additional Information

Authorized Official

Authorized Official Last Name:
EBERHARD
Authorized Official First Name:
SALLY
Authorized Official Middle Name:
Authorized Official Title or Position:
SENIOR VICE PRESIDENT
Authorized Official Telephone Number:
310-325-9110

Provider Taxonomy Codes

  • Taxonomy code: 207X00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 7501510004 . This is a "MEDICARE DME" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com