Provider Demographics
NPI:1902231285
Name:1ST STOP URGENT CARE & FAMILY PRACTICE TORRANCE
Entity Type:Organization
Organization Name:1ST STOP URGENT CARE & FAMILY PRACTICE TORRANCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:RAPHAEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:ARGUETA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:805-388-3732
Mailing Address - Street 1:2406 TORRANCE BLVD
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90501-2401
Mailing Address - Country:US
Mailing Address - Phone:805-388-3732
Mailing Address - Fax:
Practice Address - Street 1:2406 TORRANCE BLVD
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90501-2401
Practice Address - Country:US
Practice Address - Phone:805-388-3732
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:1ST STOP URGENT CARE & FAMILY PRACTICE TORRANCE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-09-05
Last Update Date:2013-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA98465207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty