Provider Demographics
NPI:1063113066
Name:TORRES, ANGELICA LUZ P
Entity type:Individual
Prefix:
First Name:ANGELICA LUZ
Middle Name:P
Last Name:TORRES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:915 S 2ND ST APT A
Mailing Address - Street 2:
Mailing Address - City:ALHAMBRA
Mailing Address - State:CA
Mailing Address - Zip Code:91801-4394
Mailing Address - Country:US
Mailing Address - Phone:310-806-3497
Mailing Address - Fax:
Practice Address - Street 1:1225 W 190TH ST STE 360
Practice Address - Street 2:
Practice Address - City:GARDENA
Practice Address - State:CA
Practice Address - Zip Code:90248-4338
Practice Address - Country:US
Practice Address - Phone:310-819-8184
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-15
Last Update Date:2023-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant