Healthcare Provider Details

I. General information

NPI: 1982526182
Provider Name (Legal Business Name): JILLE ANN REGINE DEL ROSARIO GONZALES-TORRELIZA DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JILLE GONZALES-TORRELIZA DDS

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

719 E OCEAN AVE
LOMPOC CA
93436-7014
US

IV. Provider business mailing address

3304 DALHART AVE
SIMI VALLEY CA
93063-1410
US

V. Phone/Fax

Practice location:
  • Phone: 805-735-2702
  • Fax:
Mailing address:
  • Phone: 323-613-9778
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number113121
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number113121
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: