Provider Demographics
NPI:1053318659
Name:TORAKAWA, JOY (MD)
Entity Type:Individual
Prefix:DR
First Name:JOY
Middle Name:
Last Name:TORAKAWA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 227
Mailing Address - Street 2:
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93279-0227
Mailing Address - Country:US
Mailing Address - Phone:559-636-3376
Mailing Address - Fax:559-636-3336
Practice Address - Street 1:805 W ACEQUIA AVE
Practice Address - Street 2:SUITE 2C
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93291-6162
Practice Address - Country:US
Practice Address - Phone:559-636-3376
Practice Address - Fax:559-636-3336
Is Sole Proprietor?:No
Enumeration Date:2005-06-28
Last Update Date:2012-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG65596207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
00G655962Medicare PIN
00G655961Medicare PIN
F79697Medicare UPIN