Provider Demographics
NPI:1659990679
Name:HALBERT, TORREY BROOKE (DO)
Entity type:Individual
Prefix:
First Name:TORREY
Middle Name:BROOKE
Last Name:HALBERT
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30492 GATEWAY PL STE 110
Mailing Address - Street 2:
Mailing Address - City:RANCHO MISSION VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92694-1899
Mailing Address - Country:US
Mailing Address - Phone:949-364-3940
Mailing Address - Fax:949-364-3931
Practice Address - Street 1:30492 GATEWAY PL STE 110
Practice Address - Street 2:
Practice Address - City:RANCHO MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92694-1899
Practice Address - Country:US
Practice Address - Phone:949-364-3940
Practice Address - Fax:949-364-3931
Is Sole Proprietor?:No
Enumeration Date:2020-04-09
Last Update Date:2024-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5151014292207V00000X
CA20A23014207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology