Healthcare Provider Details

I. General information

NPI: 1770332058
Provider Name (Legal Business Name): ELIANA TORRES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/17/2024
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

91 GREGORY LN STE 21
PLEASANT HILL CA
94523-4925
US

IV. Provider business mailing address

91 GREGORY LN STE 21
PLEASANT HILL CA
94523-4925
US

V. Phone/Fax

Practice location:
  • Phone: 925-822-3052
  • Fax:
Mailing address:
  • Phone: 925-822-3052
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License Number10307
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: