NPIMap

Organization Active NPI

Bruce Torkan, M.D. Inc., a Medical Corporation

  • Clinical Medical Laboratory
  • Los Angeles, CA
National Provider Identifier
1104901164
Registry record updated Jul 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
A40561 Issued in CA
Legal business name
BRUCE TORKAN, M.D. INC., A MEDICAL CORPORATION
Practice address
820-A South Alvarado Street
Los Angeles, CA 90057-4010
Phone
(213) 384-0604
Fax
(213) 384-7125
NPI assigned
Oct 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Bruce Torkan, M.D.NPI 1699770321
Title
Medical Director
Phone
(310) 922-5571

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X A40561 CA Primary

Addresses

Primary practice location

820-A South Alvarado Street
Los Angeles, CA 90057-4010

Mailing address

PO Box 57399
Los Angeles, CA 90057-0399
Phone (213) 384-0604

Other identifiers 1

IdentifierTypeStateIssuer
LAB227400MedicaidCA

Other names 1

  • Fatima Medical Clinic, Medical Group Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bruce Torkan MD a Medical Corporation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

820 S Alvarado St
#A
Los Angeles, CA 90057
Phone (310) 666-0396

Networks

  • BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216684800000",
    "number": "1104901164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 57399",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900570399",
            "telephone_number": "213-384-0604",
            "fax_number": "213-384-7125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820-A SOUTH ALVARADO STREET",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900574010",
            "telephone_number": "213-384-0604",
            "fax_number": "213-384-7125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE TORKAN, M.D. INC., A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2008-07-22",
        "status": "A",
        "authorized_official_last_name": "TORKAN",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "310-922-5571",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "A40561",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LAB227400",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fatima Medical Clinic, Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.