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PROVIDENCE MEDICAL INSTITUTE
NPI 1376594671
Family Medicine in Torrance, CA

Active since May 12, 2006CLIA 05D0895130 · Microscopy
4101 TORRANCE BLVD, TORRANCE, CA 90503(310) 793-8075(310) 793-8195 Get Directions Write a Review

NPPES record last updated: February 9, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Providence Medical Institute NPPES

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

PROVIDENCE MEDICAL INSTITUTE (NPI 1376594671) is a healthcare organization registered as a family medicine in Torrance, California and active in the NPI registry since May 2006. The organization holds a CLIA Microscopy certificate valid through March 25, 2027 and lists Kelly Kurcz, Cheif Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1376594671
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePROVIDENCE MEDICAL INSTITUTE
Location Address4101 TORRANCE BLVDTorrance, CA 90503-4607
Mailing Address4101 Torrance BlvdTorrance, CA 90503-4607 · (310) 793-8075 · Fax (310) 793-8195
Phone(310) 793-8075
Fax(310) 793-8195
Organization SubpartNo
Authorized OfficialKelly KurczCheif Operating Officer · (310) 793-8075
Enumeration DateMay 12, 2006
Last NPPES UpdateFebruary 9, 2011
✔ NPI 1376594671 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4101 TORRANCE BLVD, Torrance, CA 90503
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Other Identifiers 1

Medicare ID-Type UnspecifiedW13360DMedicare Group Ppin

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 05D0895130

Providence Medical Institute · Torrance, CA
Active · expires Mar 25, 2027
CLIA Number05D0895130
Laboratory TypePhysician Office
Certificate Effective DateMarch 26, 2025
Certificate Expiration DateMarch 25, 2027
Laboratory DirectorJason K. Ho
Laboratory Phone(310) 792-4086
Laboratory LocationProvidence Medical Institute2382 Crenshaw Blvd, Suite 5, Torrance, CA 90501
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Providence Medical Institute's NPI number?

The NPI number for Providence Medical Institute is 1376594671. It was assigned to this organization in the NPPES registry on May 12, 2006.

Where is Providence Medical Institute located?

Providence Medical Institute is located at 4101 Torrance Blvd, Torrance, CA 90503. The listed phone number is (310) 793-8075.

What is Providence Medical Institute's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Providence Medical Institute hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D0895130) is associated with this NPI, valid through March 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Providence Medical Institute was last updated on February 9, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.