Provider Demographics
NPI:1720274079
Name:TORRES, JOY ANN
Entity Type:Individual
Prefix:
First Name:JOY
Middle Name:ANN
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 1:1717 W ORANGEWOOD AVE STE I
Mailing Address - Street 2:1908 EAST MONROE AVE #8
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92868-2040
Mailing Address - Country:US
Mailing Address - Phone:714-472-6362
Mailing Address - Fax:714-712-8344
Practice Address - Street 1:13950 MILTON
Practice Address - Street 2:303
Practice Address - City:WEISTMINSTER
Practice Address - State:CA
Practice Address - Zip Code:92683-2945
Practice Address - Country:US
Practice Address - Phone:714-472-6362
Practice Address - Fax:714-712-8344
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-20
Last Update Date:2008-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA101YM0800X, 101YA0400X, 101YP2500X, 225400000X
101YA0400X, 225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist