Healthcare Provider Details

I. General information

NPI: 1275270613
Provider Name (Legal Business Name): JANET TORRES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/17/2022
Last Update Date: 06/28/2023
Certification Date: 06/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5811 S SAN PEDRO ST
LOS ANGELES CA
90011-5323
US

IV. Provider business mailing address

5811 S SAN PEDRO ST
LOS ANGELES CA
90011-5323
US

V. Phone/Fax

Practice location:
  • Phone: 323-234-4445
  • Fax:
Mailing address:
  • Phone: 323-234-4455
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: