Healthcare Provider Details

I. General information

NPI: 1417177809
Provider Name (Legal Business Name): MS. RICARDA TORRES-OGNIBENE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/26/2007
Last Update Date: 02/04/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1221 FULTON MALL
FRESNO CA
93721-1915
US

IV. Provider business mailing address

1221 FULTON MALL
FRESNO CA
93721-1915
US

V. Phone/Fax

Practice location:
  • Phone: 559-445-3449
  • Fax: 559-445-3370
Mailing address:
  • Phone: 559-445-3449
  • Fax: 559-445-3370

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number238712
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: