Bruce Torkan MD a Medical Corporation

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A40561 Issued in CA

Legal business name

BRUCE TORKAN MD A MEDICAL CORPORATION

Doing business as

Fatima Medical Clinic

Practice address

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

Phone

(213) 384-0604

Fax

(213) 384-7125

NPI assigned

Jun 17, 2005

Organization subpart

No

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

(213) 384-0604

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Fatima Medical Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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.

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

  dba Fatima Medical Clinic, Medical Group

  • Clinical Medical Laboratory
  • Los Angeles, CA
  • NPI 1104901164
  NPD tax ID

Practitioners 1

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

• Bruce Torkan, M.D.

  • General Practice Physician
  • Los Angeles, CA
  • NPI 1699770321
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295481600000",
    "number": "1487659116",
    "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 ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900574010",
            "telephone_number": "213-384-0604",
            "fax_number": "213-384-7125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE TORKAN MD A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-17",
        "last_updated": "2011-01-20",
        "status": "A",
        "authorized_official_last_name": "TORKAN",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "213-384-0604",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "A40561",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0027020",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A405610",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fatima Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John Joseph Broz III, PA
• Maja Broz, MS, RDN
• Edbert R Bruan, D.D.S.
• Bruce C Landres MD Inc
• Bruce S. Gillis, M.D., M.P.H., Inc.
• Bruce Torkan, M.D. Inc., a Medical Corporation (Fatima Medical Clinic, Medical Group)
• Anna Latrice Bruce, LCSW
• David A Bruce, MFT
• Eric David Bruce, MSW
• Ilya Bruce, DDS

• General Practice Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.