Provider Demographics
NPI:1922473776
Name:TORRANCE VASCULAR CENTER A MEDICAL GROUP INC
Entity Type:Organization
Organization Name:TORRANCE VASCULAR CENTER A MEDICAL GROUP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RIAD
Authorized Official - Middle Name:
Authorized Official - Last Name:ADOUMIE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-373-6864
Mailing Address - Street 1:23560 MADISON ST
Mailing Address - Street 2:SUITE 110
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-4708
Mailing Address - Country:US
Mailing Address - Phone:310-373-6864
Mailing Address - Fax:310-373-6065
Practice Address - Street 1:23560 MADISON ST
Practice Address - Street 2:SUITE 110
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-4708
Practice Address - Country:US
Practice Address - Phone:310-373-6864
Practice Address - Fax:310-373-6065
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-04
Last Update Date:2015-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular SurgeryGroup - Single Specialty