Healthcare Provider Details

I. General information

NPI: 1407317266
Provider Name (Legal Business Name): TORRE MICHAEL SODERLUND MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/26/2019
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9300 STOCKDALE HWY STE 300
BAKERSFIELD CA
93311-3611
US

IV. Provider business mailing address

155 N FRESNO ST
FRESNO CA
93701-2302
US

V. Phone/Fax

Practice location:
  • Phone: 661-326-2278
  • Fax:
Mailing address:
  • Phone: 559-459-4004
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XX0005X
TaxonomySports Medicine (Orthopaedic Surgery) Physician
License NumberA177310
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberA177310
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: