Provider Demographics
NPI:1245025808
Name:DE LA TORRE, ELBA
Entity type:Individual
Prefix:
First Name:ELBA
Middle Name:
Last Name:DE LA TORRE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11629 SENWOOD ST
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:CA
Mailing Address - Zip Code:90650-3863
Mailing Address - Country:US
Mailing Address - Phone:909-734-4669
Mailing Address - Fax:
Practice Address - Street 1:17315 STUDEBAKER RD STE 100
Practice Address - Street 2:
Practice Address - City:CERRITOS
Practice Address - State:CA
Practice Address - Zip Code:90703-2564
Practice Address - Country:US
Practice Address - Phone:562-809-5250
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-14
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter