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1609358977
PROVIDENCE MEDICAL INSTITUTE
TORRANCE, CA
NPI
1609358977
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Entity Type
Organization
Authorized Contact
DONALD WAYNE ANDERSON
Assistant Secretary Enrollment
425-525-5392
Organization Subpart ?
No
Primary Taxonomy
208M00000X Hospitalist
Enumeration Date
2018-09-04
Last Update Date
2018-09-04
Business Address
PROVIDENCE MEDICAL INSTITUTE
4101 TORRANCE BLVD
TORRANCE, CA 90503-4607
Phone number: 310-303-6833
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Mailing Address
PROVIDENCE MEDICAL INSTITUTE
21311 MADRONA AVE STE 101
TORRANCE, CA 90503-5970
Phone number: 310-792-4015
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