Individual
ANNA M TORRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1420 N CLAREMONT BLVD, STE - 209B, CLAREMONT, CA 91711-3528
(909) 621-0057
(909) 621-5485
Mailing address
1420 N CLAREMONT BLVD, STE - 209B, CLAREMONT, CA 91711-3528
(909) 621-0057
(909) 621-5485
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
8878T
CA
152WC0802X
Corneal and Contact Management Optometrist
8878T
CA
152WP0200X
Pediatric Optometrist
8878T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0088780
—
CA
Enumeration date
05/24/2006
Last updated
03/24/2014
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