| Peninsula Healthcare Center | |
|
22330 Hawthorne Blvd Ste 208 Torrance CA 90505-2536 | |
| (877) 354-1171 | |
| (424) 488-3600 |
| Full Name | Peninsula Healthcare Center |
|---|---|
| Speciality | General Practice |
| Location | 22330 Hawthorne Blvd Ste 208, Torrance, California |
| Authorized Official Name and Position | Shelly Calhoun (CEO) |
| Authorized Official Contact | 8773541171 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Peninsula Healthcare Center 22330 Hawthorne Blvd Ste 208 Torrance CA 90505-2536 Ph: (877) 354-1171 | Peninsula Healthcare Center 22330 Hawthorne Blvd Ste 208 Torrance CA 90505-2536 Ph: (877) 354-1171 |
| NPI Number | 1235738782 |
|---|---|
| Provider Enumeration Date | 10/25/2020 |
| Last Update Date | 10/25/2020 |
| Medicare PECOS PAC ID | 5799197877 |
|---|---|
| Medicare Enrollment ID | O20210526001194 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235738782 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| 363LP2300X | Nurse Practitioner - Primary Care | (* (Not Available)) | Secondary |
| Provider Name | Kevin B Calhoun |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1144239401 PECOS PAC ID: 6901103548 Enrollment ID: I20160404000801 |
| Provider Name | Shelly Calhoun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902418577 PECOS PAC ID: 8325450406 Enrollment ID: I20210528002029 |
Southbay Endocrine Medical Associates Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 20911 Earl St, Suite 340, Torrance, CA 90503 Phone: 310-802-7002 Fax: 310-542-4695 | |
Delamo Family Medical Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3475 Torrance Blvd Ste G, Torrance, CA 90503 Phone: 310-543-1695 Fax: 310-792-2321 | |
Dunja Maglica Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 23441 Madison St Ste 305, Torrance, CA 90505 Phone: 310-378-5115 Fax: 310-378-9779 | |
Torrance Health Association Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2900 Lomita Blvd, Torrance, CA 90505 Phone: 310-784-3740 Fax: 310-539-1006 | |
David H. Stern, M.d., Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1218 Crenshaw Blvd, Torrance, CA 90501 Phone: 310-328-1181 Fax: 310-328-1747 | |
Medical Associates Of Little Company Of Mary Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 21311 Madrona Ave, 100a, Torrance, CA 90503 Phone: 310-792-4400 Fax: 310-542-5805 | |
Bliss Medical Group, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 23451 Madison St, Suite 250, Torrance, CA 90505 Phone: 310-791-0083 Fax: 310-791-0085 |