Individual
JUAN DE LA TORRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2550 E FOOTHILL BLVD, PASADENA, CA 91107-3406
(626) 463-1021
Mailing address
2550 E FOOTHILL BLVD, PASADENA, CA 91107-3406
(626) 753-5406
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
CA
Other
Enumeration date
04/30/2025
Last updated
09/16/2025
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