MEDICARE: EDNA TORBATI

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	183500000X	Pharmacist	RPH37097	CA

General Provider Information

NPI Number	:	1538587043
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EDNA TORBATI

Provider Business Mailing Address
First Line	:	847 5TH ST APT 102
Second Line	:
City	:	SANTA MONICA
State	:	CA
Zip	:	90403-1335
Country	:	US
Telephone Number	:	310-922-7567
Fax Number	:

Provider Business Practice Location Address
First Line	:	14440 BURBANK BLVD
Second Line	:
City	:	SHERMAN OAKS
State	:	CA
Zip	:	91401-4823
Country	:	US
Telephone Number	:	818-989-5422
Fax Number	:	818-989-6244

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

Provider Enumeration Date	:	04/01/2014
Last Update Date	:	04/01/2014

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