Provider Demographics
NPI:1245569003
Name:TORRANCE MEDICAL GROUP INC.
Entity Type:Organization
Organization Name:TORRANCE MEDICAL GROUP INC.
Other - Org Name:TORRANCE FAMILY AND URGENT CARE, INC.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:MEDICAL DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:
Authorized Official - Last Name:WEITZMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-626-8037
Mailing Address - Street 1:2573 PACIFIC COAST HWY STE B
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-7950
Mailing Address - Country:US
Mailing Address - Phone:310-626-8037
Mailing Address - Fax:310-626-8038
Practice Address - Street 1:2573B PACIFIC COAST HIGHWAY
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-7950
Practice Address - Country:US
Practice Address - Phone:310-626-8037
Practice Address - Fax:310-626-8038
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-08
Last Update Date:2017-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP3300XAmbulatory Health Care FacilitiesClinic/CenterPain