TWIN TOWN CORPORATION (NPI# 1861828600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861828600 |
| Entity Type | Organization |
| Organization Name | TWIN TOWN CORPORATION |
| Other Organization Name | TWIN TOWN TREATMENT CENTERS, TORRANCE |
| Practice Address |
3440 Torrance Blvd Ste 104 Torrance CA 90503-5805 |
| Mailing Address |
4388 Katella Ave. Los Alamitos CA 90720 |
| Practice Telephone | 3107871335 |
| Practice Fax Number | 3107871809 |
| Mailing Telephone | 8665948844 |
| Mailing Fax Number | 5624931280 |
| Enumeration Date | 2013-09-25 |
| Last Update Date | 2019-08-08 |
| Authorized Official Name | MR. DAVID PAUL LISONBEE (CEO/ PRESIDENT) |
| Authorized Official Telephone | 3106299669 |
| Is Organization Subpart | Y |
| Parent Organization Name | TWIN TOWN |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
190290AP | CA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Twin Town Treatment Centers, Torrance | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 20300 S Vermont Ave Ste 245, Torrance, CA 905021355 | 3107871335 | 3107871809 |
| 2171 Torrance Blvd., Ste. 8, Torrance, CA 90501 | 3107871335 | 5624931280 |
| 3440 Torrance Blvd Ste 104, Torrance, CA 905035805 | 3107871335 | 3107871809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972939718 | Twin Town Corporation | Clinic/Center | 4376 Katella Ave., Los Alamitos, CA 90720 | 2013-09-25 |
| 1124454962 | Twin Town Corporation | Clinic/Center | 8739 Santa Monica Blvd., West Hollywood, CA 90069 | 2013-09-25 |
| 1407282247 | Twin Town Corporation | Clinic/Center | 705 West La Veta Ste. 208, Orange, CA 92868 | 2013-09-25 |
| 1871929612 | Twin Town Corporation | Clinic/Center | 4940 Van Nuys Blvd Ste 201, Sherman Oaks, CA 91403-1700 | 2013-09-25 |
| 1881020626 | Twin Town Corporation | Clinic/Center | 27281 Las Ramblas St. Ste. 140, Mission Viejo, CA 92691 | 2013-09-25 |
| 1295820835 | Twin Town Corporation | Clinic/Center | 4388 E. Katella Ave., Los Alamitos, CA 90720 | 2006-10-03 |
| Street Address |
3440 TORRANCE BLVD STE 104 |
| City | TORRANCE |
| State | CA |
| Zip Code | 90503-5805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215537121 | Dmitriy Victor Puchkarev | Counselor | 3440 Torrance Blvd Ste 104, Torrance, CA 90503-5805 | 2020-10-29 |
| 1790392876 | Ashraf Jamal Abdelkarim | Counselor | 3440 Torrance Blvd Ste 104, Torrance, CA 90503-5805 | 2020-09-23 |
| 1992310916 | Kailey Nicole Stapel | Counselor | 3440 Torrance Blvd Ste 104, Torrance, CA 90503-5805 | 2020-09-15 |
| 1710511274 | Natalie Michelle Radovich | Counselor | 3440 Torrance Blvd Ste 104, Torrance, CA 90503-5805 | 2020-02-24 |
| 1316597388 | Leticia Isabel Ashelford | Counselor | 3440 Torrance Blvd Ste 104, Torrance, CA 90503-5805 | 2019-09-12 |
| 1942720545 | Caitlin Janell Flohr | Counselor | 3440 Torrance Blvd Ste 104, Torrance, CA 90503-5805 | 2017-06-23 |
| 1407383169 | Ryan Shimokubo | Counselor | 3440 Torrance Blvd Ste 104, Torrance, CA 90503-5805 | 2017-05-12 |
| 1639620370 | Oscar Gudino | Counselor | 3440 Torrance Blvd Ste 104, Torrance, CA 90503-5805 | 2016-10-18 |
| 1972958833 | Keith Miller | Counselor | 3440 Torrance Blvd Ste 104, Torrance, CA 90503-5805 | 2016-04-28 |
| 1083080436 | Mayra Patricia Martinez | Counselor | 3440 Torrance Blvd Ste 104, Torrance, CA 90503-5805 | 2015-08-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013562180 | Jason Anthony Maglinao | Chiropractor | 21010 Anza Ave., #12, Torrance, CA 90503 | 2019-08-06 |
| 1891288890 | Ehab Samaan Dds Inc | Dentist | 19019 Hawthorne Blvd Ste 100b, Torrance, CA 90503 | 2018-06-13 |
| 1740771435 | Icare California House Call Practice LLC | Nurse Practitioner | 4460 Spencer St, Torrance, CA 90503 | 2018-05-29 |
| 1396258729 | South Bay Home Care, Inc., Dba Always Best Care - South Bay | In Home Supportive Care | 370 S. Crenshaw Blvd., Ste. E106, Torrance, CA 90503 | 2017-11-07 |
| 1770093023 | Home Care Professional Services, Inc. | In Home Supportive Care | 3838 West Carson Street, Suite 208, Torrance, CA 90503 | 2017-10-01 |
| 1003355686 | Mona Nejad | Dentist | 4305 Torrance Blvd Ste 103, Torrance, CA 90503 | 2017-02-16 |
| 1497114722 | Jacqueline Martinez | Technician, Other | 4201 Torrance Blvd Suite 190, Torrance, CA 90503 | 2016-02-15 |
| 1093196255 | Hanmo Gu | Chiropractor | 3510 Torrance Blvd., Ste 106, Torrance, CA 90503 | 2015-06-13 |
| 1164813341 | Aimee Y Miyazawa | Specialist/Technologist | 20501 Earl St. Ste. 3, Torrance, CA 90503 | 2015-02-10 |
| 1396145231 | Nicole Soghomonian | Social Worker | 5010 Merrill St, Torrance, CA 90503 | 2014-08-28 |
| Find all providers in zip 90503 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124150917 | Noble Heart Services | Clinic/Center | 16610 Crenshaw Blvd, Torrance, CA 90504-2108 | 2007-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609476845 | Vanity Wellness Center Incorporated | Clinic/Center | 19935 Ventura Blvd Fl 1, Woodland Hills, CA 91364-9605 | 2020-10-27 |
| 1184230328 | Recovery & Resilience Centers | Clinic/Center | 1665 Creekside Dr Ste 100, Folsom, CA 95630-3538 | 2020-09-22 |
| 1518573526 | A Ka Center, LLC | Clinic/Center | 4715 Divine Way, La Mesa, CA 91941-6832 | 2020-09-16 |
| 1821602186 | New Bridge Foundation, Inc. | Clinic/Center | 1777 Leroy Avenue, Berkeley, CA 94709-1156 | 2020-09-03 |
| 1942814793 | Ola Wellness Retreat, LLC | Clinic/Center | 26926 Pacific Coast Hwy, Malibu, CA 90265-4358 | 2020-08-31 |
| 1336752963 | Ola Wellness Retreat, LLC | Clinic/Center | 26924 Pacific Coast Hwy, Malibu, CA 90265-4356 | 2020-08-24 |
| 1003427337 | Restorative Partners, Inc. | Clinic/Center | 3220 S Higuera St Ste 103a, San Luis Obispo, CA 93401-2023 | 2020-08-11 |
| 1255941597 | Pathways Recovery | Clinic/Center | 4904 Hollycrest Way, Fair Oaks, CA 95628-5114 | 2020-08-02 |
| 1104435734 | New Life Health Authority / Dba New Life LLC | Clinic/Center | 280 E Standley St, Ukiah, CA 95482-4414 | 2020-07-29 |
| 1043829971 | House of Hope Foundation Inc | Clinic/Center | 227 W 9th St, San Pedro, CA 90731-3711 | 2020-07-27 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on TWIN TOWN CORPORATION.
| 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.