# BRUCE TORKAN MD A MEDICAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Fatima Medical Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487659116
- **Authorized official:** DR. BRUCE TORKAN M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (213) 384-0604

## Contact information

- **Practice address:** 820-A SOUTH ALVARADO ST, LOS ANGELES, CA 90057-4010
- **Practice address phone:** (213) 384-0604
- **Practice address fax:** (213) 384-7125
- **Mailing address:** PO BOX 57399, LOS ANGELES, CA 90057-0399
- **Mailing address phone:** (213) 384-0604
- **Mailing address fax:** (213) 384-7125

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | A40561 | CA | Yes |

## Other

- **Enumeration date:** 06/17/2005
- **Last updated:** 01/20/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00A405610 | — | CA |
| 05 | — | GR0027020 | — | CA |