Total Family Support Clinic

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

TOTAL FAMILY SUPPORT CLINIC

Practice address

740 N Pacific Ave
C1 & C2
San Pedro, CA 90731-1630

Phone

(213) 213-0581

Fax

(213) 213-0580

NPI assigned

Sep 10, 2012

Organization subpart

No

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

Authorized official

Name

Marina Verkhovsky, MS

Title

Director of HR

Phone

(213) 213-0581

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1347235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347235200000",
    "number": "1295085934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 S OLIVE ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900143006",
            "telephone_number": "213-213-0581",
            "fax_number": "213-213-0580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 N PACIFIC AVE",
            "address_2": "C1 & C2",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907311630",
            "telephone_number": "213-213-0581",
            "fax_number": "213-213-0580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL FAMILY SUPPORT CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-10",
        "last_updated": "2012-09-10",
        "status": "A",
        "authorized_official_last_name": "VERKHOVSKY",
        "authorized_official_first_name": "MARINA",
        "authorized_official_title_or_position": "DIRECTOR OF HR",
        "authorized_official_telephone_number": "213-213-0581",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "197134",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristen Nicole Torp
• Andrea Torres, RADT
• Jaqueline Torres
• Saira Torres, RDN, CDCES
• Total Body Advanced Medicine Inc
• Lisa Toves
• Brenda Tran
• Hanh Vivian Tran, D.D.S.
• Mai Thanh Tran, PHARMD
• Sydney Quynh Tran

• Case Management Agency in San Pedro, CA
• Providers in San Pedro, CA by specialty
• Case Management Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2012; 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.