Provider Demographics
NPI:1720374010
Name:TORRANCEMEMORIALMEDICALCENTER
Entity Type:Organization
Organization Name:TORRANCEMEMORIALMEDICALCENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSW PRACTITIONER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ABELSON
Authorized Official - Suffix:
Authorized Official - Credentials:MSN,RN,ANP-BC,GNP-BC
Authorized Official - Phone:310-486-6382
Mailing Address - Street 1:4733 REESE RD
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-3359
Mailing Address - Country:US
Mailing Address - Phone:310-486-6382
Mailing Address - Fax:310-543-1091
Practice Address - Street 1:3330 LOMITA BLVD
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-5002
Practice Address - Country:US
Practice Address - Phone:310-486-6382
Practice Address - Fax:310-784-8712
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-24
Last Update Date:2011-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAR210493282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital