PROVIDENCE MEDICAL INSTITUTE NPI 1417915760

NPI Information

PROVIDENCE MEDICAL INSTITUTE 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. PROVIDENCE MEDICAL INSTITUTE NPI is 1417915760. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Providence Little Company Of Mary Medical Institute.

The provider's business location address is:

4101 TORRANCE BLVD
TORRANCE, CA
ZIP 90503-607
Phone: (310) 793-8075
Fax: (310) 793-8195

The provider's authorized official is Donald Wayne Anderson .
The authorized official title is Assistant Secretary-enrollment and has the following contact phone number (425) 525-5392.

The enumeration date for this NPI number is 5/3/2006 and was last updated on 11/28/2018.

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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