KPW MEDICAL ASSOCIATES, PC (NPI# 1609378777) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609378777 |
| Entity Type | Organization |
| Organization Name | KPW MEDICAL ASSOCIATES, PC |
| Other Organization Name | PKW MEDICAL ASSOCIATES, PC |
| Practice Address |
3445 Pacific Coast Hwy Ste 310 Torrance CA 90505-6660 |
| Practice Telephone | 3106025005 |
| Practice Fax Number | 3105303912 |
| Mailing Telephone | 3106025005 |
| Mailing Fax Number | 3105303912 |
| Enumeration Date | 2018-03-05 |
| Last Update Date | 2018-03-05 |
| Authorized Official Name | ALEC S KOO (PHYSICIAN PARTNER) |
| Authorized Official Telephone | 3102001113 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | SKYLINE UROLOGY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | G61375 | CA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| PKW Medical Associates, PC | Doing Business As Name - Organization |
| Street Address |
3445 PACIFIC COAST HWY STE 310 |
| City | TORRANCE |
| State | CA |
| Zip Code | 90505-6660 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780229260 | Sleep Apnea Team LLC | Clinic/Center | 2785 Pacific Coast Hwy Ste. E #197, Torrance, CA 90505 | 2019-11-08 |
| 1811469349 | Laura Anne Bloomberg | Marriage & Family Therapist | 2790 Sky Park Drive, Suite 215, Torrance, CA 90505 | 2018-12-21 |
| 1629544234 | Doroty O.d.s. Devalon | Physician Assistant | 23530 Hawthorne Boulevard Building 1, Suite 290, Torrance, CA 90505 | 2018-10-22 |
| 1790270486 | Juste Karvelyte | Dentist | 3500 Lomita Blvd Ste 201, Torrance, CA 90505 | 2018-06-26 |
| 1023507324 | Robert De Leon | Physician Assistant | 23530 Hawthorne Blvd Ste 290, Torrance, CA 90505 | 2018-05-02 |
| 1376052274 | Regents of The University of California | Durable Medical Equipment & Medical Supplies | 3500 Lomita Bvld, Suite 300, Torrance, CA 90505 | 2017-09-22 |
| 1649796038 | Chan & Huang Dental Partnership | Dentist | 3640 Lomita Blvd., #208, Torrance, CA 90505 | 2017-08-17 |
| 1093238370 | Family Acupuncture, Inc. | Specialist/Technologist, Other | 2820 Sepulveda Blvd.ste.a, Torrance, CA 90505 | 2017-07-19 |
| 1629518535 | J Lee Acupuncture | Acupuncturist | 24248 Crenshaw Blvd. #106, Torrance, CA 90505 | 2017-02-27 |
| 1770932360 | Maha Hanna Dds Inc | Dentist | 3710 Pacific Coast Hwy, Ste 101, Torrance, CA 90505 | 2016-06-06 |
| Find all providers in zip 90505 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740201623 | Garrett S Matsunaga | Urology | 20911 Earl St Ste 140, Torrance, CA 90503-4353 | 2006-07-23 |
| 1386182558 | Kpw Urology Specialty Group | Urology | 3445 Pacific Coast Hwy, 140, Torrance, CA 90505-6658 | 2017-02-07 |
| 1932642477 | Kpw Urology Specialty Group | Urology | 3445 Pacific Coast Hwy, Suite 310, Torrance, CA 90505-6658 | 2016-12-01 |
| 1295150019 | Mark W Tamarin Md Inc | Urology | 3440 Lomita Blvd, Suite 440, Torrance, CA 90505-4801 | 2014-03-03 |
| 1992128847 | Manish Mehta Md, Inc | Urology | 4305 Torrance Blvd, #109, Torrance, CA 90503-4409 | 2014-01-29 |
| 1164666228 | Shelby Nicole Morrisroe | Urology | 20911 Earl St, Suite 140, Torrance, CA 90503-4352 | 2009-04-20 |
| 1053436550 | Timothy F. Lesser | Urology | 20911 Earl St, Suite 140, Torrance, CA 90503 | 2007-03-21 |
| 1720146871 | Manish Mehta | Urology | 4305 Torrance Blvd, 109, Torrance, CA 90503-4409 | 2006-12-04 |
| 1932295441 | Richard C. Reznichek | Urology | 1000 W Carson St, Harbor-ucla Med. Ctr., Box 5, Torrance, CA 90502-2004 | 2006-10-04 |
| 1801804760 | Urology Institute of The South Bay | Urology | 23600 Telo Ave, #220, Torrance, CA 90505 | 2006-08-04 |
| Find all providers in TORRANCE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.