| Bruce Torkan Md A Medical Corporation | |
|
820-a South Alvarado St Los Angeles CA 90057-4010 | |
| (213) 384-0604 | |
| (213) 384-7125 |
| Full Name | Bruce Torkan Md A Medical Corporation |
|---|---|
| Speciality | General Practice |
| Location | 820-a South Alvarado St, Los Angeles, California |
| Authorized Official Name and Position | Bruce Torkan (MEDICAL DIRECTOR) |
| Authorized Official Contact | 2133840604 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bruce Torkan Md A Medical Corporation Po Box 57399 Los Angeles CA 90057-0399 Ph: (213) 384-0604 | Bruce Torkan Md A Medical Corporation 820-a South Alvarado St Los Angeles CA 90057-4010 Ph: (213) 384-0604 |
| NPI Number | 1487659116 |
|---|---|
| Provider Enumeration Date | 06/17/2005 |
| Last Update Date | 01/20/2011 |
| Medicare PECOS PAC ID | 6204015019 |
|---|---|
| Medicare Enrollment ID | O20110126000400 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487659116 | NPI | - | NPPES |
| GR0027020 | Medicaid | CA | |
| 00A405610 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | A40561 (California) | Primary |
| Provider Name | Bruce Torkan |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1699770321 PECOS PAC ID: 2062691876 Enrollment ID: I20120105000285 |
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