Provider Demographics
NPI:1114105947
Name:TORREY, ROBERT RUSSELL III (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:RUSSELL
Last Name:TORREY
Suffix:III
Gender:M
Credentials:MD
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Mailing Address - Street 1:351 HOSPITAL RD
Mailing Address - Street 2:SUITE 507
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92663-3509
Mailing Address - Country:US
Mailing Address - Phone:949-642-1361
Mailing Address - Fax:949-642-1394
Practice Address - Street 1:1525 SUPERIOR AVE
Practice Address - Street 2:SUITE 210
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92663-3639
Practice Address - Country:US
Practice Address - Phone:949-999-8979
Practice Address - Fax:949-999-8970
Is Sole Proprietor?:No
Enumeration Date:2008-02-04
Last Update Date:2016-04-01
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Provider Licenses
StateLicense IDTaxonomies
CAA95083208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A950830Medicaid