Healthcare Provider Details

I. General information

NPI: 1134504897
Provider Name (Legal Business Name): MONICA TORRES PPSC, CWA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/23/2015
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

393 BLOSSOM HILL RD STE 110
SAN JOSE CA
95123-1653
US

IV. Provider business mailing address

393 BLOSSOM HILL RD STE 110
SAN JOSE CA
95123-1653
US

V. Phone/Fax

Practice location:
  • Phone: 408-629-9802
  • Fax: 408-629-9808
Mailing address:
  • Phone: 408-629-9802
  • Fax: 408-629-9808

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License NumberASW133161
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberASW133161
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberASW133161
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License NumberASW133161
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: