Individual
JOSE DE LA TORRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPT
Contact information
Practice address
510 S VERMONT AVE, LOS ANGELES, CA 90020-1912
(213) 943-9063
Mailing address
510 S VERMONT AVE, LOS ANGELES, CA 90020-1912
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT40249
CA
Other
Enumeration date
06/24/2024
Last updated
06/24/2024
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