Healthcare Provider Details

I. General information

NPI: 1477418333
Provider Name (Legal Business Name): BEATRES TORRES CORTEZ LVN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/22/2025
Last Update Date: 12/22/2025
Certification Date: 12/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2511 JENSEN AVE
SANGER CA
93657-2251
US

IV. Provider business mailing address

456 W NORTH WAY
DINUBA CA
93618-1536
US

V. Phone/Fax

Practice location:
  • Phone: 559-875-3023
  • Fax:
Mailing address:
  • Phone: 559-847-6442
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164X00000X
TaxonomyLicensed Vocational Nurse
License Number755119
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: