Provider Demographics
NPI:1306398219
Name:TORRANCE HEALTH ASSOCIATION INC
Entity Type:Organization
Organization Name:TORRANCE HEALTH ASSOCIATION INC
Other - Org Name:TORRANCE MEMORIAL PHYSICIAN NETWORK
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HEIDI
Authorized Official - Middle Name:
Authorized Official - Last Name:ASSIGAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-784-8795
Mailing Address - Street 1:23326 HAWTHORNE BLVD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-3725
Mailing Address - Country:US
Mailing Address - Phone:310-257-7205
Mailing Address - Fax:310-598-3119
Practice Address - Street 1:23550 HAWTHORNE BLVD
Practice Address - Street 2:SUITE 120
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-4731
Practice Address - Country:US
Practice Address - Phone:310-517-1216
Practice Address - Fax:310-517-7073
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-26
Last Update Date:2024-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA7501510002OtherMEDICARE DME