Healthcare Provider Details

I. General information

NPI: 1982182002
Provider Name (Legal Business Name): HILDA ORALIA TORRES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/31/2018
Last Update Date: 10/26/2022
Certification Date: 10/20/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3700 ENTERPRISE WAY
MODESTO CA
95356
US

IV. Provider business mailing address

10387 POULSEN CT
MONTCLAIR CA
91763-4452
US

V. Phone/Fax

Practice location:
  • Phone: 209-550-6055
  • Fax:
Mailing address:
  • Phone: 909-235-3437
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: