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 1760425862

Providence Medical Institute is a Dermatology Physician in Torrance, California. 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.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Dermatology Physician Taxonomy 207N00000X
Emergency Medicine Physician Taxonomy 207P00000X
Internal Medicine Physician Taxonomy 207R00000X
Rheumatology Physician Taxonomy 207RR0500X
Obstetrics & Gynecology Physician Taxonomy 207V00000X
Orthopaedic Surgery Physician Taxonomy 207X00000X
Pediatrics Physician Taxonomy 208000000X
Hospitalist Physician Taxonomy 208M00000X
Urgent Care Clinic/Center Taxonomy 261QU0200X

Record details

NPI number1760425862
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Anderson — Assistant Secretary Of Enrollments · (425) 358-9786
Other names Providence Little Company Of Mary Medical Institute; Providence Little Company Of Mary Medical Institute
NPI enumeratedJune 14, 2006
Last updated in NPPESMay 12, 2025
Certification dateMay 12, 2025
Mailing addressPo Box 31001-3029, Pasadena, CA 91110-3029

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