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GLEN I KOMATSU M D A PROFESSIONAL CORPORATION NPI 1073734778


NPI Information

NPI: 1073734778
Provider Name: GLEN I KOMATSU M D A PROFESSIONAL CORPORATION
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
4101 TORRANCE BLVD
PALLIATIVE CARE
TORRANCE, CA
ZIP 90503
Phone: (310) 303-6840
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GLEN I KOMATSU M D A PROFESSIONAL CORPORATION is a general practice in Torrance, CA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee GLEN I KOMATSU M D A PROFESSIONAL CORPORATION NPI is 1073734778. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4101 TORRANCE BLVD
PALLIATIVE CARE
TORRANCE, CA
ZIP 90503-607
Phone: (310) 303-6840
Fax: (310) 303-5574

The provider's authorized official is Glen I Komatsu .
The authorized official title is Owner and has the following contact phone number (310) 375-4585.

The enumeration date for this NPI number is 5/1/2007 and was last updated on 9/7/2023.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208D00000XGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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