| Providence Medical Institute | |
|
4101 Torrance Blvd Torrance CA 90503-4607 | |
| (310) 793-8075 | |
| (310) 793-8195 |
| Full Name | Providence Medical Institute |
|---|---|
| Speciality | Family Medicine |
| Location | 4101 Torrance Blvd, Torrance, California |
| Authorized Official Name and Position | Kelly Kurcz (CHEIF OPERATING OFFICER) |
| Authorized Official Contact | 3107938075 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Providence Medical Institute 4101 Torrance Blvd Torrance CA 90503-4607 Ph: (310) 793-8075 | Providence Medical Institute 4101 Torrance Blvd Torrance CA 90503-4607 Ph: (310) 793-8075 |
| NPI Number | 1376594671 |
|---|---|
| Provider Enumeration Date | 05/12/2006 |
| Last Update Date | 02/09/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376594671 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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