Healthcare Provider Details

I. General information

NPI: 1326381492
Provider Name (Legal Business Name): DAISY TORRES MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2013
Last Update Date: 11/12/2021
Certification Date: 11/12/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

940 AVENUE 64
PASADENA CA
91105
US

IV. Provider business mailing address

940 AVENUE 64
PASADENA CA
91105
US

V. Phone/Fax

Practice location:
  • Phone: 323-543-2800
  • Fax: 323-978-1263
Mailing address:
  • Phone: 323-543-2800
  • Fax: 323-978-1263

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberASW 34463
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: