Individual
DINA TAMARA TORRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5535 BALBOA BLVD STE 220, ENCINO, CA 91316-1553
(818) 728-4212
Mailing address
338 W MAGNOLIA ST APT 2, COMPTON, CA 90220-2181
(310) 625-9447
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
272239956
CA
Other
Enumeration date
07/10/2020
Last updated
07/10/2020
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