MEDICARE: MEGHAN K. TORRES PA-C

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	363AS0400X	Surgical Physician Assistant	23 013028	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	23 013028	OTHER	NY	NEW YORK STATE LICENSE
2	51240	OTHER	CA	CALIFORNIA STATE LICENSE

General Provider Information

NPI Number	:	1629223185
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGHAN K. TORRES PA-C

Provider Business Mailing Address
First Line	:	8 CALLE LIBERACION
Second Line	:
City	:	RANCHO SANTA MARGARITA
State	:	CA
Zip	:	92688-4137
Country	:	US
Telephone Number	:	949-212-7719
Fax Number	:

Provider Business Practice Location Address
First Line	:	8 CALLE LIBERACION
Second Line	:
City	:	RANCHO SANTA MARGARITA
State	:	CA
Zip	:	92688-4137
Country	:	US
Telephone Number	:	949-212-7719
Fax Number	:

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

Provider Enumeration Date	:	11/25/2008
Last Update Date	:	06/21/2024

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