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NPI Code Detail

MEDICARE: TORREY RIDGEWAY

MEDICARE: TORREY RIDGEWAY
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
1106S00000XBehavior TechnicianCA

General Provider Information

NPI Number : 1588352322
Entity Type Code : Individual
Provider Name (Legal Business Name) : TORREY RIDGEWAY
Provider Business Mailing Address
First Line : 9620 CHESAPEAKE DR STE 105
Second Line :
City : SAN DIEGO
State : CA
Zip : 92123-1324
Country : US
Telephone Number : 858-505-9083
Fax Number :
Provider Business Practice Location Address
First Line : 4719 VIEWRIDGE AVE STE 100
Second Line :
City : SAN DIEGO
State : CA
Zip : 92123-1685
Country : US
Telephone Number : 866-727-8274
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/28/2023
Last Update Date : 06/05/2026

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Directions to “ TORREY RIDGEWAY ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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