Healthcare Provider Details

I. General information

NPI: 1487429221
Provider Name (Legal Business Name): NOEL TORRES JR., A PROFESSIONAL MEDICAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/21/2023
Last Update Date: 11/22/2023
Certification Date: 11/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6758 PASSONS BLVD
PICO RIVERA CA
90660-3666
US

IV. Provider business mailing address

6758 PASSONS BLVD
PICO RIVERA CA
90660-3666
US

V. Phone/Fax

Practice location:
  • Phone: 562-477-6923
  • Fax:
Mailing address:
  • Phone: 562-477-6923
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: DR. NOEL TORRES JR.
Title or Position: PRESIDENT
Credential: MD
Phone: 562-477-6923