Organization
CALIFORNIA REHAB AND SPORTS THERAPY
Active
Other names
Torrance Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT PACE (COO)
(213) 804-1712
Entity
Organization
Contact information
Practice address
19000 HAWTHORNE BLVD, #300, TORRANCE, CA 90503-1517
(310) 793-1800
(310) 793-1801
Mailing address
200 NEWPORT CENTER DR, #213, NEWPORT BEACH, CA 92660-7501
(949) 644-1322
(949) 644-0316
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 10720
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2121129
FIRST HEALTH
CA
01
—
ZZZ06055Z
BLUE SHIELD
CA
Enumeration date
05/17/2006
Last updated
11/14/2019
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