Healthcare Provider Details

I. General information

NPI: 1902424328
Provider Name (Legal Business Name): JULIETA TORRES ABAD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/13/2020
Last Update Date: 07/30/2020
Certification Date: 07/30/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

627 LARCHMONT DR
DALY CITY CA
94015-3637
US

IV. Provider business mailing address

5232 MAKATI CIR
SAN JOSE CA
95123-6244
US

V. Phone/Fax

Practice location:
  • Phone: 650-994-3673
  • Fax:
Mailing address:
  • Phone: 408-674-8394
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: