Healthcare Provider Details

I. General information

NPI: 1245143841
Provider Name (Legal Business Name): MIGUEL TORRES, LICENSED CLINICAL SOCIAL WORKER, APC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2026
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

326 S PACIFIC COAST HWY STE 209
REDONDO BEACH CA
90277-3737
US

IV. Provider business mailing address

326 S PACIFIC COAST HWY STE 209
REDONDO BEACH CA
90277-3737
US

V. Phone/Fax

Practice location:
  • Phone: 213-493-6341
  • Fax: 213-816-1977
Mailing address:
  • Phone: 213-493-6341
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MR. MIGUEL TORRES
Title or Position: PRESIDENT
Credential: LCSW
Phone: 213-493-6341