Provider Demographics
NPI:1598105132
Name:DELATORRE, ASIA ROCHELLE (MD)
Entity Type:Individual
Prefix:MS
First Name:ASIA
Middle Name:ROCHELLE
Last Name:DELATORRE
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 1:1325 BROAD AVE
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:CA
Mailing Address - Zip Code:90744-2604
Mailing Address - Country:US
Mailing Address - Phone:310-404-2040
Mailing Address - Fax:310-404-2169
Practice Address - Street 1:1325 BROAD AVE
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:CA
Practice Address - Zip Code:90744-2604
Practice Address - Country:US
Practice Address - Phone:310-404-2040
Practice Address - Fax:310-404-2169
Is Sole Proprietor?:No
Enumeration Date:2013-06-27
Last Update Date:2021-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA133853207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine