Provider Demographics
NPI:1134905904
Name:TORRANCE MEMORIAL MEDICAL CENTER
Entity type:Organization
Organization Name:TORRANCE MEMORIAL MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED DIETITIAN NUTRITIONIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:DUONG
Authorized Official - Middle Name:THAI BINH
Authorized Official - Last Name:LE
Authorized Official - Suffix:
Authorized Official - Credentials:RDN
Authorized Official - Phone:310-325-9110
Mailing Address - Street 1:3330 LOMITA BLVD
Mailing Address - Street 2:NUTRITION SERVICES
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505
Mailing Address - Country:US
Mailing Address - Phone:310-325-9110
Mailing Address - Fax:
Practice Address - Street 1:2841 LOMITA BLVD. SUITE 335
Practice Address - Street 2:MEDICAL NUTRITION THERAPY
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505
Practice Address - Country:US
Practice Address - Phone:310-891-6707
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-06
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty