Healthcare Provider Details

I. General information

NPI: 1134716517
Provider Name (Legal Business Name): RAQUEL TORREZ-BIRKLAND PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/30/2020
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18370 BURBANK BLVD STE 100
TARZANA CA
91356-2818
US

IV. Provider business mailing address

18370 BURBANK BLVD STE 100
TARZANA CA
91356-2818
US

V. Phone/Fax

Practice location:
  • Phone: 424-314-7630
  • Fax: 424-314-7631
Mailing address:
  • Phone: 424-314-7630
  • Fax: 424-314-7631

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: