Organization
OLD TOWN TORRANCE MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY KIJONG HONG MD (MEDICAL DIRECTOR/OWNER)
(213) 215-7503
Entity
Organization
Contact information
Practice address
2055 TORRANCE BLVD STE 1, TORRANCE, CA 90501-2642
(213) 381-0700
(213) 381-8700
Mailing address
520 S VIRGIL AVE STE 501, LOS ANGELES, CA 90020-1442
(213) 381-0700
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
08/23/2019
Last updated
08/23/2019
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