Healthcare Provider Details

I. General information

NPI: 1437801834
Provider Name (Legal Business Name): ESMERALDA TORRES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/26/2022
Last Update Date: 04/10/2024
Certification Date: 04/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

39830 PORTOLA AVE STE A
PALM DESERT CA
92260-0623
US

IV. Provider business mailing address

39830 PORTOLA AVE STE A
PALM DESERT CA
92260-0623
US

V. Phone/Fax

Practice location:
  • Phone: 951-686-8500
  • Fax:
Mailing address:
  • Phone: 951-686-8500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License NumberMPSS-YOQAKT
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: