Provider Demographics
NPI:1760686265
Name:TORRES, XOLEDAD ANNAMARIA (MA IMF)
Entity Type:Individual
Prefix:MS
First Name:XOLEDAD
Middle Name:ANNAMARIA
Last Name:TORRES
Suffix:
Gender:F
Credentials:MA IMF
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1266 14TH ST
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94607-2247
Mailing Address - Country:US
Mailing Address - Phone:510-273-4700
Mailing Address - Fax:510-530-8083
Practice Address - Street 1:1266 14TH ST
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94607-2247
Practice Address - Country:US
Practice Address - Phone:510-473-4700
Practice Address - Fax:510-530-8083
Is Sole Proprietor?:No
Enumeration Date:2007-06-11
Last Update Date:2021-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA67928106H00000X
CA49274106H00000X
CA90998106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist