Healthcare Provider Details

I. General information

NPI: 1730770827
Provider Name (Legal Business Name): KARINA TORRES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/01/2021
Last Update Date: 04/22/2024
Certification Date: 04/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 W MISSION AVE STE 103
ESCONDIDO CA
92025-1721
US

IV. Provider business mailing address

221 W CREST ST STE 210
ESCONDIDO CA
92025-1739
US

V. Phone/Fax

Practice location:
  • Phone: 760-747-3424
  • Fax: 760-747-3435
Mailing address:
  • Phone: 760-747-3424
  • Fax: 760-747-3435

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164X00000X
TaxonomyLicensed Vocational Nurse
License Number714741
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: