Most Relevant Information
Provider Data
| NPI Number: | 1003699489 |
| Provider Name: | ISABEL DE LA TORRE |
| Entity Type: | Individual |
| Taxonomy Code: | 2255A2300X |
| Specialty: | Specialist/Technologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/17/2023 |
| Last Updated: | 08/17/2023 |
Provider Practice Location
1950 THIRD STREET
LA VERNE
CA
91750
Practice Location Phone/Fax
| Phone: | 6264785732 |
| Fax: |
Provider Mailing Location
4255 FILHURST AVE
BALDWIN PARK
CA
917062851
Provider Mailing Phone/Fax
| Phone: | 6264785732 |
| Fax: |