Glen I Komatsu M D A Professional Corporation

NPI 1073734778 - General Practice - 208D00000X

NPI Details
NPI 1073734778
Enumeration Date 05/01/2007
Last Updated 10/02/2014
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name GLEN I GLEN
Position OWNER
Phone (310) 303-6840
Fax (310) 303-5574
Practice Location
4101 TORRANCE BLVD
PALLIATIVE CARE
TORRANCE CA, 90503-4607, US
Phone (310) 303-6840
Fax (310) 303-5574
Business Location
6069 WOODFERN DR
RANCHO PALOS VERDES CA, 90275-2263, US
Phone (310) 545-9713
Fax (310) 546-1648
Toxanomy
Taxonomy Code 208D00000X
License State
License Number
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According to our database, Glen I Komatsu M D A Professional Corporation NPI is 1073734778, taxonomy code is 208D00000X Glen I Komatsu M D A Professional Corporation physically located at 4101 Torrance Blvd, Torrance CA, 90503-4607. NPI Number 1033115704 has the healthcare provider type.

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1073734778 NPI number is provided on an as is basis without warranty of any kind. 1073734778 is maintained by the National Plan & Provider Enumeration System. The contents of Glen I Komatsu M D A Professional Corporation are for informational purposes only.