MEDICARE: DR. TONY JAMES TORREZ DPT, LCMT

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
1	208100000X	Physical Medicine & Rehabilitation Physician	PT297454	CA

General Provider Information

NPI Number	:	1184268294
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TONY JAMES TORREZ DPT, LCMT

Provider Business Mailing Address
First Line	:	5335 RUCKER DR
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95124-5645
Country	:	US
Telephone Number	:	805-455-8171
Fax Number	:

Provider Business Practice Location Address
First Line	:	1194 S DE ANZA BLVD
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95129-3632
Country	:	US
Telephone Number	:	408-257-2225
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/31/2019
Last Update Date	:	10/31/2019

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