Provider Demographics
NPI:1972580116
Name:TORCHIA, JEFFREY LYNN (DC)
Entity type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:LYNN
Last Name:TORCHIA
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:503 SEAPORT CT
Mailing Address - Street 2:SUITE 102
Mailing Address - City:REDWOOD CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94063-2735
Mailing Address - Country:US
Mailing Address - Phone:650-365-2225
Mailing Address - Fax:650-365-1635
Practice Address - Street 1:503 SEAPORT CT
Practice Address - Street 2:SUITE 102
Practice Address - City:REDWOOD CITY
Practice Address - State:CA
Practice Address - Zip Code:94063-2735
Practice Address - Country:US
Practice Address - Phone:650-365-2225
Practice Address - Fax:650-365-1635
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-29
Last Update Date:2012-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC16560111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC0165600Medicare UPIN
CAT06183Medicare ID - Type Unspecified