| Old Town Torrance Medical Corporation | |
|
2055 Torrance Blvd Ste 1 Torrance CA 90501-2642 | |
| (213) 381-0700 | |
| (213) 381-8700 |
| Full Name | Old Town Torrance Medical Corporation |
|---|---|
| Speciality | Clinic/Center |
| Location | 2055 Torrance Blvd Ste 1, Torrance, California |
| Authorized Official Name and Position | Gregory Kijong Hong (MEDICAL DIRECTOR/OWNER) |
| Authorized Official Contact | 2132157503 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Old Town Torrance Medical Corporation 520 S Virgil Ave Ste 501 Los Angeles CA 90020-1442 Ph: (213) 381-0700 | Old Town Torrance Medical Corporation 2055 Torrance Blvd Ste 1 Torrance CA 90501-2642 Ph: (213) 381-0700 |
| NPI Number | 1194372045 |
|---|---|
| Provider Enumeration Date | 08/23/2019 |
| Last Update Date | 08/23/2019 |
| Medicare PECOS PAC ID | 3971834995 |
|---|---|
| Medicare Enrollment ID | O20191006000016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194372045 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Gregory K Hong |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1578668703 PECOS PAC ID: 2163324708 Enrollment ID: I20040123000274 |
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