Healthcare Provider Details

I. General information

NPI: 1093020026
Provider Name (Legal Business Name): MS. ZOILA PATRICIA TORRES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/14/2010
Last Update Date: 11/22/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2625 ZANKER RD
SAN JOSE CA
95134-2130
US

IV. Provider business mailing address

2058 43RD AVE
SAN FRANCISCO CA
94116-1033
US

V. Phone/Fax

Practice location:
  • Phone: 408-325-5100
  • Fax:
Mailing address:
  • Phone: 415-672-0878
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: