Provider Demographics
NPI:1629134770
Name:LAW-TOROK, JUDY L (MD)
Entity Type:Individual
Prefix:DR
First Name:JUDY
Middle Name:L
Last Name:LAW-TOROK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3640 LOMITA BLVD
Mailing Address - Street 2:SUITE 204
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-3927
Mailing Address - Country:US
Mailing Address - Phone:310-698-6344
Mailing Address - Fax:310-698-6339
Practice Address - Street 1:3640 LOMITA BLVD
Practice Address - Street 2:SUITE 204
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-3927
Practice Address - Country:US
Practice Address - Phone:310-698-6344
Practice Address - Fax:310-698-6339
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-30
Last Update Date:2012-06-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG81109207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAWG81109BMedicare ID - Type UnspecifiedMEDICARE ID