Provider Demographics
NPI:1184865842
Name:TOOMBS, ALYCE MARIE (NP)
Entity Type:Individual
Prefix:MRS
First Name:ALYCE
Middle Name:MARIE
Last Name:TOOMBS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23441 MADISON ST
Mailing Address - Street 2:SUITE 301, BLDG. #8
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-4725
Mailing Address - Country:US
Mailing Address - Phone:310-373-7900
Mailing Address - Fax:310-373-7940
Practice Address - Street 1:23441 MADISON ST
Practice Address - Street 2:SUITE 301, BLDG. #8
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-4725
Practice Address - Country:US
Practice Address - Phone:310-373-7900
Practice Address - Fax:310-373-7940
Is Sole Proprietor?:No
Enumeration Date:2009-03-10
Last Update Date:2009-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA14615363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health