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1144125360 NPI number — ERICK CALDERON TORRES

NPI Number: 1144125360
Health Care Provider/Practitioner: ERICK CALDERON TORRES

Information about “1144125360” NPI (ERICK CALDERON TORRES) exists in 1144125360 in HTML format HTML  |  1144125360 in plain Text format TXT  |  1144125360 in PDF (Portable Document Format) PDF  |  1144125360 in an XML format XML  formats.

NPI Number : 1144125360 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1144125360",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CALDERON TORRES",
    "FirstName": "ERICK",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "CALDERON",
    "OtherFirstName": "ERICK",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "CCC MS SLP",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "50661 CALLE MENDOZA",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "COACHELLA",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92236-1915",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "760-848-9019",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "75100 MEDITERRANEAN",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PALM DESERT",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92211-9069",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "888-439-4088",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/08/2026",
    "LastUpdateDate": "10/08/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "235Z00000X",
        "TaxonomyName": "Speech-Language Pathologist",
        "LicenseNumber": "42347",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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