Healthcare Provider Details
I. General information
NPI: 1013761519
Provider Name (Legal Business Name): OLGA TORRES PPS
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 04/12/2024
Last Update Date: 04/12/2024
Certification Date: 04/12/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1500 W BALL RD
ANAHEIM CA
92802-1626
US
IV. Provider business mailing address
1500 W BALL RD
ANAHEIM CA
92802-1626
US
V. Phone/Fax
- Phone: 714-999-3663
- Fax: 714-563-9214
- Phone: 714-999-3663
- Fax: 714-563-9214
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YS0200X |
| Taxonomy | School Counselor |
| License Number | |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: