1760425862 PROVIDENCE MEDICAL INSTITUTE

Family Medicine Physician

Active

Basic Information

Organization Name
PROVIDENCE MEDICAL INSTITUTE
Enumeration Date
June 14, 2006
Last Update
May 12, 2025
Authorized Official
DONALD WAYNE ANDERSON JR.
ASSISTANT SECRETARY OF ENROLLMENTS
Phone: (425) 358-9786

Practice Location

Address
4101 TORRANCE BLVD
TORRANCE, CA 905034607
Phone
(310) 793-8075
Fax
(310) 793-8195

Mailing Address

Address
PO BOX 31001-3029
PASADENA, CA 911103029
Phone
(310) 792-4015
Fax
(310) 792-4093

Specialties & Taxonomies

Specialty Code Classification License State Primary
Pediatrics Physician
208000000X Pediatrics N/A N/A No
Hospitalist Physician
208M00000X Hospitalist N/A N/A No
Urgent Care Clinic/Center
Urgent Care
261QU0200X Clinic/Center N/A N/A No
Dermatology Physician
207N00000X Dermatology N/A N/A No
Emergency Medicine Physician
207P00000X Emergency Medicine N/A N/A No
Internal Medicine Physician
207R00000X Internal Medicine N/A N/A No
Rheumatology Physician
Rheumatology
207RR0500X Internal Medicine N/A N/A No
Obstetrics & Gynecology Physician
207V00000X Obstetrics & Gynecology N/A N/A No
Orthopaedic Surgery Physician
207X00000X Orthopaedic Surgery N/A N/A No
Family Medicine Physician
207Q00000X Family Medicine N/A N/A Primary

Frequently Asked Questions

What is PROVIDENCE MEDICAL INSTITUTE's NPI number?
PROVIDENCE MEDICAL INSTITUTE's NPI number is 1760425862.
Which doctor has NPI number 1760425862?
The doctor with NPI number 1760425862 is PROVIDENCE MEDICAL INSTITUTE.
What is PROVIDENCE MEDICAL INSTITUTE's practice address?
PROVIDENCE MEDICAL INSTITUTE's practice address is 4101 TORRANCE BLVD, TORRANCE, CA, 905034607.
Which doctor practices at 4101 TORRANCE BLVD, TORRANCE, CA, 905034607?
PROVIDENCE MEDICAL INSTITUTE practices at 4101 TORRANCE BLVD, TORRANCE, CA, 905034607.
What is PROVIDENCE MEDICAL INSTITUTE's mailing address?
PROVIDENCE MEDICAL INSTITUTE's mailing address is PO BOX 31001-3029, PASADENA, CA, 911103029.
What is PROVIDENCE MEDICAL INSTITUTE's phone number?
PROVIDENCE MEDICAL INSTITUTE's phone number is (310) 793-8075.
Who is (310) 793-8075?
(310) 793-8075 is the phone number for PROVIDENCE MEDICAL INSTITUTE.
What is PROVIDENCE MEDICAL INSTITUTE's specialty?
PROVIDENCE MEDICAL INSTITUTE's specialty is Family Medicine Physician.
What type of doctor is PROVIDENCE MEDICAL INSTITUTE?
PROVIDENCE MEDICAL INSTITUTE is a Family Medicine Physician.
Is PROVIDENCE MEDICAL INSTITUTE a Family Medicine?
Yes, PROVIDENCE MEDICAL INSTITUTE is a Family Medicine.
Is PROVIDENCE MEDICAL INSTITUTE still practicing?
Yes, PROVIDENCE MEDICAL INSTITUTE is currently practicing.
Is PROVIDENCE MEDICAL INSTITUTE accepting new patients?
PROVIDENCE MEDICAL INSTITUTE may be accepting new patients. Please call their office at (310) 793-8075 to inquire about availability.
Is NPI 1760425862 still active?
Yes, NPI 1760425862 is currently active.
Where does PROVIDENCE MEDICAL INSTITUTE practice?
PROVIDENCE MEDICAL INSTITUTE practices in TORRANCE, CA.