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NPI Code Detail

MEDICARE: VANESSA TORRES HURTADO MSW

MEDICARE: VANESSA TORRES HURTADO MSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program
21041C0700XClinical Social Worker24791CA

General Provider Information

NPI Number : 1013034057
Entity Type Code : Individual
Provider Name (Legal Business Name) : VANESSA TORRES HURTADO MSW
Provider Business Mailing Address
First Line : 7444 WOODGLEN DR
Second Line :
City : CORONA
State : CA
Zip : 92880-0716
Country : US
Telephone Number : 951-545-5528
Fax Number :
Provider Business Practice Location Address
First Line : 3075 MYERS ST
Second Line :
City : RIVERSIDE
State : CA
Zip : 92503-5525
Country : US
Telephone Number : 951-358-6895
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2007
Last Update Date : 05/03/2012

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