Healthcare Provider Details
I. General information
NPI: 1740041946
Provider Name (Legal Business Name): LIZETT SANCHEZ- TORRES
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 01/16/2024
Last Update Date: 05/14/2025
Certification Date: 05/14/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9890 COUNTY FARM RD STE 3
RIVERSIDE CA
92503-3678
US
IV. Provider business mailing address
450 E SAN JACINTO AVE
PERRIS CA
92571-2833
US
V. Phone/Fax
- Phone: 951-509-8320
- Fax:
- Phone: 951-210-1791
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 175T00000X |
| Taxonomy | Peer Specialist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: