Healthcare Provider Details

I. General information

NPI: 1114147592
Provider Name (Legal Business Name): FRANKLIN KIEU TORRES M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/26/2007
Last Update Date: 10/06/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3660 PARK SIERRA DR STE 105
RIVERSIDE CA
92505-3071
US

IV. Provider business mailing address

PO BOX 2828
CORONA CA
92878-2828
US

V. Phone/Fax

Practice location:
  • Phone: 951-278-8870
  • Fax: 951-278-8913
Mailing address:
  • Phone: 951-278-8870
  • Fax: 951-278-8913

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number94-06585
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: