Basic Information
Provider Information
NPI: 1558575001
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: TORRES
FirstName: JOY
MiddleName: BINAYAN
NamePrefix:  
NameSuffix:  
Credential: RN
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3853 ROSECRANS ST
Address2:  
City: SAN DIEGO
State: CA
PostalCode: 921103115
CountryCode: US
TelephoneNumber: 6196928227
FaxNumber:  
Practice Location
Address1: 3853 ROSECRANS ST
Address2:  
City: SAN DIEGO
State: CA
PostalCode: 921103115
CountryCode: US
TelephoneNumber: 6196928227
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/10/2007
LastUpdateDate: 03/21/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163WP0809X648416CAY Nursing Service ProvidersRegistered NursePsych/Mental Health, Adult

No ID Information.


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