Glen I Komatsu M D A Professional Corporation | |
4101 Torrance Blvd Palliative Care Torrance CA 90503-4607 | |
(310) 303-6840 | |
(310) 303-5574 |
Full Name | Glen I Komatsu M D A Professional Corporation |
---|---|
Speciality | General Practice |
Location | 4101 Torrance Blvd, Torrance, California |
Authorized Official Name and Position | Glen I Komatsu (OWNER) |
Authorized Official Contact | 3103754585 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Glen I Komatsu M D A Professional Corporation 6069 Woodfern Dr Rancho Palos Verdes CA 90275-2263 Ph: (310) 545-9713 | Glen I Komatsu M D A Professional Corporation 4101 Torrance Blvd Palliative Care Torrance CA 90503-4607 Ph: (310) 303-6840 |
NPI Number | 1073734778 |
---|---|
Provider Enumeration Date | 05/01/2007 |
Last Update Date | 09/07/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073734778 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
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