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General NPI Number Information
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NPI Number | 1740080373
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Entity Type | Individual
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Provider Name | INDRA TORRES
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Gender | Female
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Dates
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Enumeration Date | 03/13/2025
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Last Update Date | 03/19/2025
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Provider Practice Location Address
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Address Line | 1000 ALAMEDA ST
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City | LOS ANGELES
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State | CA
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Zip | 90012
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Country | US
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Telephone | 213-613-0630
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Fax |
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Provider Business Mailing Address
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Address Line | 3750 MYERS ST. APTO. 30
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City | RIVERSIDE
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State | CA
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Zip | 92503
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Country | US
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Telephone | 714-882-9784
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number | Y5030378
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License Number State | CA
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