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GLEN I KOMATSU M D A PROFESSIONAL CORPORATION
NPI 1073734778
General Practice in Torrance, CA

Active since May 01, 2007
4101 TORRANCE BLVD, PALLIATIVE CARE, TORRANCE, CA 90503(310) 303-6840(310) 303-5574 Get Directions Write a Review

NPPES record last updated: September 7, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Glen I Komatsu M D A Professional Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GLEN I KOMATSU M D A PROFESSIONAL CORPORATION (NPI 1073734778) is a healthcare organization registered as a general practice in Torrance, California and active in the NPI registry since May 2007. The organization lists Glen I Komatsu, Owner, as its authorized official.

NPPES Registry Identity

NPI1073734778
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameGLEN I KOMATSU M D A PROFESSIONAL CORPORATION
Location Address4101 TORRANCE BLVD, PALLIATIVE CARETorrance, CA 90503-4607
Mailing Address6069 Woodfern DrRancho Palos Verdes, CA 90275-2263 · (310) 545-9713 · Fax (310) 546-1648
Phone(310) 303-6840
Fax(310) 303-5574
Organization SubpartYesParent: Providence Health And Services
Authorized OfficialGlen I KomatsuOwner · (310) 375-4585
Enumeration DateMay 1, 2007
Last NPPES UpdateSeptember 7, 2023
✔ NPI 1073734778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

4101 TORRANCE BLVD, Torrance, CA 90503
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE
General Acute Care Hospital
4101 TORRANCE BLVD
TORRANCE, CA 90503
Los Angeles County (310) 303-6840
FLORA AMY LEE
Pharmacist
4101 TORRANCE BLVD
TORRANCE, CA 90503
Los Angeles County (310) 540-7676
AZIZ ZAOUADI NP
Nurse Practitioner (Family)
4101 TORRANCE BLVD
TORRANCE, CA 90503
Los Angeles County (323) 494-7440
LEAH SUZANNE GLAVAN BSN RN CIS
Clinical Nurse Specialist (Informatics)
4101 TORRANCE BLVD
TORRANCE, CA 90503
Los Angeles County (310) 540-7676
ADVANCED IMAGING OF SOUTH BAY, INC.
Radiology (Diagnostic Radiology)
4101 TORRANCE BLVD
TORRANCE, CA 90503
Los Angeles County (310) 303-5750
NICHOLAS J MONDEK
Anesthesiology
4101 TORRANCE BLVD
TORRANCE, CA 90503
Los Angeles County (310) 540-7676
THU LAN TRAN
Pharmacist
4101 TORRANCE BLVD
TORRANCE, CA 90503
Los Angeles County (310) 303-5770
NICHOLAS SAADE MD
Emergency Medicine
4101 TORRANCE BLVD
TORRANCE, CA 90503
Los Angeles County (310) 303-5600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Glen I Komatsu M D A Professional Corporation's NPI number?

The NPI number for Glen I Komatsu M D A Professional Corporation is 1073734778. It was assigned to this organization in the NPPES registry on May 1, 2007.

Where is Glen I Komatsu M D A Professional Corporation located?

Glen I Komatsu M D A Professional Corporation is located at 4101 Torrance Blvd Palliative Care, Torrance, CA 90503. The listed phone number is (310) 303-6840.

What is Glen I Komatsu M D A Professional Corporation's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Glen I Komatsu M D A Professional Corporation was last updated on September 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.