MEDICARE: ADRIANA OCAMPO TORRES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	105447	CA
2	1041C0700X	Clinical Social Worker	105447	CA

General Provider Information

NPI Number	:	1487990487
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADRIANA OCAMPO TORRES

Provider Business Mailing Address
First Line	:	900 CORPORATE CENTER DR STE 350
Second Line	:
City	:	MONTEREY PARK
State	:	CA
Zip	:	91754-7620
Country	:	US
Telephone Number	:	323-562-4016
Fax Number	:	323-562-4096

Provider Business Practice Location Address
First Line	:	2958 E FLORENCE AVE
Second Line	:
City	:	HUNTINGTON PARK
State	:	CA
Zip	:	90255-5826
Country	:	US
Telephone Number	:	626-366-3686
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/19/2012
Last Update Date	:	06/16/2023

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Directions to “ ADRIANA OCAMPO TORRES ” Practice Location

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