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BRUCE TORKAN MD A MEDICAL CORPORATION NPI 1487659116


NPI Information

NPI: 1487659116
Provider Name: BRUCE TORKAN MD A MEDICAL CORPORATION

Doing Business As: FATIMA MEDICAL CLINIC

Classification: General Practice - 208D00000X
Entity Type: Organization

CLIA Number: 05D0722740

Address:
820-A SOUTH ALVARADO ST
LOS ANGELES, CA
ZIP 90057
Phone: (213) 384-0604
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BRUCE TORKAN MD A MEDICAL CORPORATION is a general practice in Los Angeles, CA. BRUCE TORKAN MD A MEDICAL CORPORATION NPI is 1487659116. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Fatima Medical Clinic.

The provider's business location address is:

820-A SOUTH ALVARADO ST
LOS ANGELES, CA
ZIP 90057-010
Phone: (213) 384-0604
Fax: (213) 384-7125

The provider's authorized official is Bruce Torkan .
The authorized official title is Medical Director and has the following contact phone number (213) 384-0604.

The CLIA number assigned to this NPI record is 05D0722740 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 6/17/2005 and was last updated on 1/20/2011.


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 PracticeA40561CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1W10187MEDICARE PINOHIO
2W10187MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
3D73189MEDICARE UPINCALIFORNIA
400A405610MEDICARE PINOHIO
5GR0027020MEDICAIDCALIFORNIA
600A405610MEDICAIDCALIFORNIA

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: 11/14/2023

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