| Optum Palos Verdes | |
|
25210 Crenshaw Blvd Ste 100 Torrance CA 90505-6134 | |
| (310) 602-2700 | |
| (310) 602-2789 |
| Full Name | Optum Palos Verdes |
|---|---|
| Speciality | Family Medicine |
| Location | 25210 Crenshaw Blvd Ste 100, Torrance, California |
| Authorized Official Name and Position | Brian Borsook (PHYSICIAN/DIRECTOR) |
| Authorized Official Contact | 3103268600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Optum Palos Verdes 25210 Crenshaw Blvd Ste 100 Torrance CA 90505-6134 Ph: (310) 602-2700 | Optum Palos Verdes 25210 Crenshaw Blvd Ste 100 Torrance CA 90505-6134 Ph: (310) 602-2700 |
| NPI Number | 1740435502 |
|---|---|
| Provider Enumeration Date | 11/20/2008 |
| Last Update Date | 07/13/2022 |
| Medicare PECOS PAC ID | 9537218201 |
|---|---|
| Medicare Enrollment ID | O20090529000148 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740435502 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (California) | Primary |
| Provider Name | Brian D. Borsook |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437165370 PECOS PAC ID: 9032198031 Enrollment ID: I20040714000992 |
| Provider Name | Fe A Inocentes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851306542 PECOS PAC ID: 4789733452 Enrollment ID: I20090529000256 |
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