TRADITIONAL FAMILY PRACTICE INC NPI 1053507822

NPI Information

TRADITIONAL FAMILY PRACTICE INC is a family medicine in Torrance, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. TRADITIONAL FAMILY PRACTICE INC NPI is 1053507822. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2204 TORRANCE BLVD
SUITE 105
TORRANCE, CA
ZIP 90501-544
Phone: (310) 328-2146
Fax: (310) 328-2242

The provider's authorized official is Ludmila Afonicheva .
The authorized official title is Ceo and has the following contact phone number (310) 328-2146.

The CLIA number assigned to this NPI record is 05D1031043 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/14/2007 and was last updated on 6/17/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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