Healthcare Provider Details

I. General information

NPI: 1396121711
Provider Name (Legal Business Name): VICTORIA TORRES LSCW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/07/2015
Last Update Date: 08/19/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

43807 10TH ST W STE D
LANCASTER CA
93534
US

IV. Provider business mailing address

447 N EL MOLINO AVE
PASADENA CA
91101-1403
US

V. Phone/Fax

Practice location:
  • Phone: 661-575-9365
  • Fax:
Mailing address:
  • Phone: 626-577-8480
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW88471
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: