Provider Demographics
NPI:1639066129
Name:TORRES PINEDA, ELIAS ISAAC
Entity type:Individual
Prefix:
First Name:ELIAS
Middle Name:ISAAC
Last Name:TORRES PINEDA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4223 E AVENUE Q12
Mailing Address - Street 2:
Mailing Address - City:PALMDALE
Mailing Address - State:CA
Mailing Address - Zip Code:93552-3046
Mailing Address - Country:US
Mailing Address - Phone:818-795-5317
Mailing Address - Fax:
Practice Address - Street 1:4223 E AVENUE Q12
Practice Address - Street 2:
Practice Address - City:PALMDALE
Practice Address - State:CA
Practice Address - Zip Code:93552-3046
Practice Address - Country:US
Practice Address - Phone:818-795-5317
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-18
Last Update Date:2025-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician