Individual
ENRIQUE DE LA TORRE VIZCARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13001 RAMONA BLVD STE A, IRWINDALE, CA 91706-3752
(626) 373-2900
Mailing address
940 AVENUE 64, PASADENA, CA 91105-2711
(323) 543-2800
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
21158
CA
101YP2500X
Professional Counselor
Primary
APCC21158
CA
Other
Enumeration date
03/25/2026
Last updated
04/20/2026
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