Provider Demographics
NPI:1952631871
Name:TORRES-FREDENBURG, YOLANDA (DC)
Entity Type:Individual
Prefix:DR
First Name:YOLANDA
Middle Name:
Last Name:TORRES-FREDENBURG
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14001 NEWPORT AVE
Mailing Address - Street 2:SUITE F
Mailing Address - City:TUSTIN
Mailing Address - State:CA
Mailing Address - Zip Code:92780-7829
Mailing Address - Country:US
Mailing Address - Phone:714-689-3050
Mailing Address - Fax:714-689-3052
Practice Address - Street 1:14001 NEWPORT AVE
Practice Address - Street 2:SUITE F
Practice Address - City:TUSTIN
Practice Address - State:CA
Practice Address - Zip Code:92780-7829
Practice Address - Country:US
Practice Address - Phone:714-689-3050
Practice Address - Fax:714-689-3052
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-29
Last Update Date:2009-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA16908111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor