Provider Demographics
NPI:1295107399
Name:TORRES, SANDRA
Entity type:Individual
Prefix:MS
First Name:SANDRA
Middle Name:
Last Name:TORRES
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 1:601 S GLENOAKS BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91502-2787
Mailing Address - Country:US
Mailing Address - Phone:818-441-7800
Mailing Address - Fax:818-441-0013
Practice Address - Street 1:601 S GLENOAKS BLVD
Practice Address - Street 2:SUITE 200
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91502-1474
Practice Address - Country:US
Practice Address - Phone:818-441-7800
Practice Address - Fax:818-441-0013
Is Sole Proprietor?:No
Enumeration Date:2015-10-28
Last Update Date:2015-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator