Provider Demographics
NPI:1346812088
Name:TORRANCE HEALTH ASSOCIATION INC
Entity Type:Organization
Organization Name:TORRANCE HEALTH ASSOCIATION INC
Other - Org Name:
Other - Org Type:
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 STE 200
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-3756
Mailing Address - Country:US
Mailing Address - Phone:310-257-7205
Mailing Address - Fax:310-598-3119
Practice Address - Street 1:855 MANHATTAN BEACH BLVD STE 101
Practice Address - Street 2:
Practice Address - City:MANHATTAN BEACH
Practice Address - State:CA
Practice Address - Zip Code:90266-4975
Practice Address - Country:US
Practice Address - Phone:310-939-7873
Practice Address - Fax:310-939-7856
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-13
Last Update Date:2021-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty