Healthcare Provider Details

I. General information

NPI: 1144125360
Provider Name (Legal Business Name): ERICK CALDERON TORRES
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: ERICK CALDERON CCC MS SLP

II. Dates (important events)

Enumeration Date: 10/08/2026
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

75100 MEDITERRANEAN
PALM DESERT CA
92211-9069
US

IV. Provider business mailing address

50661 CALLE MENDOZA
COACHELLA CA
92236-1915
US

V. Phone/Fax

Practice location:
  • Phone: 888-439-4088
  • Fax:
Mailing address:
  • Phone: 760-848-9019
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number42347
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: