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Specialty details in registry · Lomita, CA

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At a glance

25964 Eshelman Ave, Lomita, CA 90717-3223

NPPES record updated Apr 18, 2023. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

25964 Eshelman Ave
Lomita, CA 90717-3223

Additional reported practice locations

4101 Torrance Blvd
Torrance, CA 905034607
Phone: 3105407676

Professional details: NPI, taxonomy & registry record

NPI1629764048

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 374J00000X
Enumeration date: Apr 18, 2023
Record updated: Apr 18, 2023

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

374J00000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

25964 Eshelman Ave
Lomita, CA 90717-3223

Phone: (424) 328-9350

Mailing address

25964 ESHELMAN AVE

LOMITA, CA 907173223

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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