Healthcare Provider Details

I. General information

NPI: 1285088575
Provider Name (Legal Business Name): ANGELA TORRES DC, LAC, DIPLO. OM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/22/2016
Last Update Date: 04/22/2024
Certification Date: 04/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 MERCY CIRCLE
CAMP PENDLETON CA
92055
US

IV. Provider business mailing address

3699 BARNARD DR APT 753
OCEANSIDE CA
92056-4026
US

V. Phone/Fax

Practice location:
  • Phone: 760-719-4114
  • Fax:
Mailing address:
  • Phone: 818-796-5900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number17058
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number163923
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number33518
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: