| Osato Medical Clinic Inc. | |
|
2860 Sepulveda Blvd Torrance CA 90505-2803 | |
| (310) 534-8200 | |
| Not Available |
| Full Name | Osato Medical Clinic Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 2860 Sepulveda Blvd, Torrance, California |
| Authorized Official Name and Position | Masaharu Osato (OWNER) |
| Authorized Official Contact | 3105348200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Osato Medical Clinic Inc. Po Box 3098 Torrance CA 90510-3098 Ph: (310) 792-3914 | Osato Medical Clinic Inc. 2860 Sepulveda Blvd Torrance CA 90505-2803 Ph: (310) 534-8200 |
| NPI Number | 1740259266 |
|---|---|
| Provider Enumeration Date | 03/16/2006 |
| Last Update Date | 01/12/2024 |
| Medicare PECOS PAC ID | 7012912892 |
|---|---|
| Medicare Enrollment ID | O20060929000201 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740259266 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207RG0100X | Internal Medicine - Gastroenterology | (California) | Primary |
| Provider Name | Masaharu M Osato |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1265470280 PECOS PAC ID: 6901843192 Enrollment ID: I20050408000978 |
| Provider Name | Kazumasa Osato |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134748015 PECOS PAC ID: 1557775293 Enrollment ID: I20231017003654 |
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