Healthcare Provider Details

I. General information

NPI: 1861971574
Provider Name (Legal Business Name): CLAUDIA TORRES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/13/2018
Last Update Date: 11/16/2023
Certification Date: 11/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2101 ALEXIAN DR STE 110
SAN JOSE CA
95116-1901
US

IV. Provider business mailing address

1671 THE ALAMEDA
SAN JOSE CA
95126-2222
US

V. Phone/Fax

Practice location:
  • Phone: 408-272-6518
  • Fax: 408-272-6569
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number140745
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: