Old Town Torrance Medical Corporation

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

OLD TOWN TORRANCE MEDICAL CORPORATION

Practice address

2055 Torrance Blvd Ste 1
Torrance, CA 90501-2642

Phone

(213) 381-0700

Fax

(213) 381-8700

NPI assigned

Aug 23, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Gregory Kijong Hong, MD

Title

Medical Director/Owner

Phone

(213) 215-7503

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Sendhil K Krishnan, MD, FACC

  • Interventional Cardiology Physician
  • Orange, CA
  • NPI 1376693325
  NPD
• Basil Younes, D.O.

  • Cardiovascular Disease Physician
  • Torrance, CA
  • NPI 1669674933
  NPD

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

{
    "created_epoch": "1566518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566518400000",
    "number": "1194372045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 S VIRGIL AVE STE 501",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900201442",
            "telephone_number": "213-381-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 TORRANCE BLVD STE 1",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905012642",
            "telephone_number": "213-381-0700",
            "fax_number": "213-381-8700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "520 S Virgil Ave Ste 501",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900201442",
            "country_code": "US",
            "telephone_number": "213-381-0700",
            "fax_number": "213-381-8700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OLD TOWN TORRANCE MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-23",
        "last_updated": "2019-08-23",
        "status": "A",
        "authorized_official_last_name": "HONG",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "KIJONG",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR/OWNER",
        "authorized_official_telephone_number": "213-215-7503",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Muneaki Okuyama, L.AC.,PH.D.
• Ifunanyachukwu Olubunmi Okwuosa, MD
• Ellen Schmidt Olaivar, NP BSN MSN
• Diana Olarte
• Kofi Shango Olawale
• Kelly Denise Olin, P.T.
• Matthew Sidney Olin, PA
• Anne Geiger Oliphant, PSY.D.
• Marissa Oliva
• Brittney Oliver, MAT-ABA

• Clinic/Center in Torrance, CA
• Providers in Torrance, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2019; 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.