Healthcare Provider Details

I. General information

NPI: 1205108123
Provider Name (Legal Business Name): FLOR DEL ROCIO TORRES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/08/2012
Last Update Date: 02/08/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2151 MARENGO STREET
LOS ANGELES CA
90033
US

IV. Provider business mailing address

12143 FELIPE ST
EL MONTE CA
91732-3710
US

V. Phone/Fax

Practice location:
  • Phone: 323-409-6715
  • Fax:
Mailing address:
  • Phone: 626-376-0490
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number20286
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: