| 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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