Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | G65596 | CA |
NPI | 1053318659 |
---|---|
Provider Name | Dr. Joy Torakawa |
First Address | Visalia, CA 93279-0227 |
Second Address | Visalia, CA 93291-6162 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2005 |
Last Update Date | 14/12/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F79697 | (02) |