Healthcare Provider Details

I. General information

NPI: 1275475998
Provider Name (Legal Business Name): ISAIAS JOEL TORRES DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/09/2026
Last Update Date: 04/09/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

34800 BOB WILSON DRIVE, SAN DIEGO, CA.
FPO AP
92134
US

IV. Provider business mailing address

73530 CATALINA WAY APT 4
PALM DESERT CA
92260-2937
US

V. Phone/Fax

Practice location:
  • Phone: 619-532-6400
  • Fax:
Mailing address:
  • Phone: 760-641-3328
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171000000X
TaxonomyMilitary Health Care Provider
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: