Healthcare Provider Details
I. General information
NPI: 1699351908
Provider Name (Legal Business Name): CESAR GUILLERMO TORRES
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 03/18/2021
Last Update Date: 03/18/2021
Certification Date: 03/18/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2325 CALIFORNIA ST
OCEANSIDE CA
92054-5711
US
IV. Provider business mailing address
165 CAREY RD
OCEANSIDE CA
92054-3604
US
V. Phone/Fax
- Phone: 760-473-8581
- Fax:
- Phone: 619-957-0631
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3747A0650X |
| Taxonomy | Attendant Care Provider |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: