PENINSULA HEALTHCARE CENTER NPI 1235738782

NPI Information

PENINSULA HEALTHCARE CENTER 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 PENINSULA HEALTHCARE CENTER NPI is 1235738782. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

22330 HAWTHORNE BLVD STE 208
TORRANCE, CA
ZIP 90505-536
Phone: (877) 354-1171
Fax: (424) 488-3600

The provider's authorized official is Shelly Calhoun .
The authorized official title is Ceo and has the following contact phone number (877) 354-1171.

The CLIA number assigned to this NPI record is 05D2218336 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/25/2020 and was last updated on 10/25/2020.

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:

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