Provider Demographics
NPI:1285773788
Name:TORRES, ROBERT G (OD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:G
Last Name:TORRES
Suffix:
Gender:M
Credentials:OD
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Mailing Address - Street 1:116 S GUADALUPE AVE
Mailing Address - Street 2:#E
Mailing Address - City:REDONDO BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90277-3407
Mailing Address - Country:US
Mailing Address - Phone:310-374-2217
Mailing Address - Fax:562-869-2769
Practice Address - Street 1:100 STONEWOOD ST
Practice Address - Street 2:
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90241-3905
Practice Address - Country:US
Practice Address - Phone:562-923-4624
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA6821T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist