PENINSULA HEALTHCARE CENTER – NPI #1235738782
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

PENINSULA HEALTHCARE CENTER is a provider located in TORRANCE, CA. NPPES has assigned the NPI number 1235738782 to PENINSULA HEALTHCARE CENTER on October 25, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PENINSULA HEALTHCARE CENTER below.

NPI Profile for
PENINSULA HEALTHCARE CENTER

NPI Number
1235738782
Enumeration Date

(more than 5 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PENINSULA HEALTHCARE CENTER
Primary location
22330 HAWTHORNE BLVD STE 208
TORRANCE, CA 90505-2536
Phone: (877) 354-1171 Fax: (424) 488-3600
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
SHELLY CALHOUN
CEO
Phone: (877) 354-1171
Updated
Certification Date
Oct 25, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)
363LP2300X
- Nurse Practitioner / Primary Care

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.