Organization
TORRANCE LOMITA COMMUNITY HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DMITRIY GRINBERG (CEO)
(424) 251-8388
Entity
Organization
Contact information
Practice address
25043 NARBONNE AVE, LOMITA, CA 90717-2101
(424) 251-8388
(424) 251-8389
Mailing address
25043 NARBONNE AVE, LOMITA, CA 90717-2101
(424) 251-8388
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QF0050X
Non-Surgical Family Planning Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
261QX0100X
Occupational Medicine Clinic/Center
—
—
Other
Enumeration date
07/29/2020
Last updated
07/29/2020
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