Provider Demographics
NPI:1588671176
Name:TORRALBA, KARINA MARIANNE DE DIOS (MD)
Entity Type:Individual
Prefix:DR
First Name:KARINA MARIANNE
Middle Name:DE DIOS
Last Name:TORRALBA
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:PO BOX 31309
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90031-0309
Mailing Address - Country:US
Mailing Address - Phone:323-442-1946
Mailing Address - Fax:323-442-2874
Practice Address - Street 1:1520 SAN PABLO ST
Practice Address - Street 2:SUITE 1000
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90033-5310
Practice Address - Country:US
Practice Address - Phone:323-442-1946
Practice Address - Fax:323-442-2874
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-03
Last Update Date:2012-04-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
ARE-4885207RR0500X
CAA73731207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAGR0100430OtherGROUP MEDICAL
CAW18762OtherGROUP MEDICARE
AR162910001Medicaid
CA1902846306OtherGROUP NPI
ARP00351570OtherRAILROAD MEDICARE1
AR162910001Medicaid