Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Providence Medical Institute

Organization Dermatology Physician · NPI 1356394175

Providence Medical Institute is a Dermatology Physician in Torrance, California. Works from 2 locations. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
10
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Practice location Address checks out

4101 Torrance Blvd
Torrance, CA 90503-4607
Phone: (310) 793-8075
Fax: (310) 793-8195
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1300 W 7th St, San Pedro, CA 90732-3505 — (310) 832-3311

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Dermatology Physician Taxonomy 207N00000X
Emergency Medicine Physician Taxonomy 207P00000X
Internal Medicine Physician Taxonomy 207R00000X
Endocrinology, Diabetes & Metabolism Physician Taxonomy 207RE0101X
Rheumatology Physician Taxonomy 207RR0500X
Obstetrics & Gynecology Physician Taxonomy 207V00000X
Orthopaedic Surgery Physician Taxonomy 207X00000X
Pediatrics Physician Taxonomy 208000000X
Hospitalist Physician Taxonomy 208M00000X

Record details

NPI number1356394175
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Anderson — Assistant Secretary Of Enrollments · (425) 358-9786
Other names Providence Little Company Of Mary
NPI enumeratedMay 19, 2006
Last updated in NPPESMay 12, 2025
Certification dateMay 12, 2025
Mailing addressPo Box 31001-3029, Pasadena, CA 91110-3029

Other providers in Torrance