Healthcare Provider Details

I. General information

NPI: 1699890228
Provider Name (Legal Business Name): MARIA CONSUELO TORRES HUH CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MARIA CONSUELO PADLAN TORRES R.N.

II. Dates (important events)

Enumeration Date: 03/20/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14445 OLIVE VIEW DR RM 3A113
SYLMAR CA
91342-1437
US

IV. Provider business mailing address

14445 OLIVE VIEW DR RM 3A113
SYLMAR CA
91342-1437
US

V. Phone/Fax

Practice location:
  • Phone: 818-364-4350
  • Fax:
Mailing address:
  • Phone: 818-364-4350
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number399340
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: