# TORRANCE ORTHOPAEDIC AND SPORTS MEDICINE GROUP

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** TORRANCE ORTHOPAEDIC & SPORTS MEDICINE
- **Other names:** CoastalOrtho
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1154834190
- **Legal business name:** TORRANCE ORTHOPAEDIC & SPORTS MEDICINE
- **Authorized official:** CARRIE KILLEN (PRACTICE ADMINISTRATIVE)
- **Authorized official phone:** (310) 316-6190

## Contact information

- **Practice address:** 5215 TORRANCE BLVD STE 210, TORRANCE, CA 90503-4009
- **Practice address phone:** (310) 316-6190
- **Mailing address:** 5215 TORRANCE BLVD STE 210, TORRANCE, CA 90503-4009
- **Mailing address phone:** (310) 316-6190
- **Mailing address fax:** (310) 540-7362

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/13/2017
- **Last updated:** 07/15/2020
