Healthcare Provider Details

I. General information

NPI: 1821163460
Provider Name (Legal Business Name): TORRES MEDICAL GROUP, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/21/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1300 N VENTURA RD SUITE 6
OXNARD CA
93030-3836
US

IV. Provider business mailing address

1300 N VENTURA RD SUITE 6
OXNARD CA
93030-3836
US

V. Phone/Fax

Practice location:
  • Phone: 805-983-8810
  • Fax: 805-983-8821
Mailing address:
  • Phone: 805-983-8810
  • Fax: 805-983-8821

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License NumberA50648
License Number StateCA

VIII. Authorized Official

Name: DR. JUAN G TORRES
Title or Position: CEO
Credential: M.D.
Phone: 805-983-8810