PENINSULA HEALTHCARE CENTER (NPI# 1235738782) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235738782 |
| Entity Type | Organization |
| Organization Name | PENINSULA HEALTHCARE CENTER |
| Practice Address |
22330 Hawthorne Blvd Ste 208 Torrance CA 90505-2536 |
| Practice Telephone | 8773541171 |
| Practice Fax Number | 4244883600 |
| Mailing Telephone | 8773541171 |
| Mailing Fax Number | 4244883600 |
| Enumeration Date | 2020-10-25 |
| Last Update Date | 2020-10-25 |
| Authorized Official Name | SHELLY CALHOUN (CEO) |
| Authorized Official Telephone | 8773541171 |
| Authorized Official Credential | NP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Street Address |
22330 HAWTHORNE BLVD STE 208 |
| City | TORRANCE |
| State | CA |
| Zip Code | 90505-2536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780229260 | Sleep Apnea Team LLC | Clinic/Center | 2785 Pacific Coast Hwy Ste. E #197, Torrance, CA 90505 | 2019-11-08 |
| 1811469349 | Laura Anne Bloomberg | Marriage & Family Therapist | 2790 Sky Park Drive, Suite 215, Torrance, CA 90505 | 2018-12-21 |
| 1629544234 | Doroty O.d.s. Devalon | Physician Assistant | 23530 Hawthorne Boulevard Building 1, Suite 290, Torrance, CA 90505 | 2018-10-22 |
| 1790270486 | Juste Karvelyte | Dentist | 3500 Lomita Blvd Ste 201, Torrance, CA 90505 | 2018-06-26 |
| 1023507324 | Robert De Leon | Physician Assistant | 23530 Hawthorne Blvd Ste 290, Torrance, CA 90505 | 2018-05-02 |
| 1376052274 | Regents of The University of California | Durable Medical Equipment & Medical Supplies | 3500 Lomita Bvld, Suite 300, Torrance, CA 90505 | 2017-09-22 |
| 1649796038 | Chan & Huang Dental Partnership | Dentist | 3640 Lomita Blvd., #208, Torrance, CA 90505 | 2017-08-17 |
| 1093238370 | Family Acupuncture, Inc. | Specialist/Technologist, Other | 2820 Sepulveda Blvd.ste.a, Torrance, CA 90505 | 2017-07-19 |
| 1629518535 | J Lee Acupuncture | Acupuncturist | 24248 Crenshaw Blvd. #106, Torrance, CA 90505 | 2017-02-27 |
| 1770932360 | Maha Hanna Dds Inc | Dentist | 3710 Pacific Coast Hwy, Ste 101, Torrance, CA 90505 | 2016-06-06 |
| Find all providers in zip 90505 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316191703 | Moses Abraham Laufer | General Practice | 23456 Hawthorne Blvd Ste 106, Torrance, CA 90505-4716 | 2008-11-11 |
| 1497807325 | Michael Cheeluen Chan,a Professional Corporation | General Practice | 21150 Hawthone Blvd, 202, Torrance, CA 90503 | 2007-01-18 |
| 1710986740 | Hameed A. Khan | General Practice | 3655 Lomita Blvd, Suite # 421, Torrance, CA 90505-3931 | 2005-07-20 |
| 1417454075 | Neil Shah | General Practice | 1000 W Carson St, Torrance, CA 90502-2059 | 2018-04-10 |
| 1316454507 | Angela Morena Rios I | General Practice | 1000 W Carson St, Torrance, CA 90502-2004 | 2018-01-09 |
| 1770967622 | Philip Zhou | General Practice | 1000 W Carson St, Torrance, CA 90502-2004 | 2015-07-09 |
| 1750628715 | Sunila Fuster Md A Professional Corp. | General Practice | 4201 Torrance Blvd, Ste. 530, Torrance, CA 90503-4504 | 2013-01-11 |
| 1003172826 | Delamo Family Medical Group Inc | General Practice | 3475 Torrance Blvd Ste G, Torrance, CA 90503-5800 | 2012-04-05 |
| 1467738757 | Cls Medical Group Inc | General Practice | 21320 Hawthorne Blvd, Suite 210, Torrance, CA 90503-5606 | 2011-10-31 |
| 1952533606 | Diagnostic Imaging Services, Inc. | General Practice | 4201 Torrance Blvd, Suite # 590, Torrance, CA 90503-4504 | 2009-08-13 |
| Find all providers in TORRANCE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.