MEDICARE: RICHARD I TORBAN MD

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	2084P0800X	Psychiatry Physician	G62505	CA

General Provider Information

NPI Number	:	1477563575
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICHARD I TORBAN MD

Provider Business Mailing Address
First Line	:	44530 SAN PABLO AVE STE 201
Second Line	:
City	:	PALM DESERT
State	:	CA
Zip	:	92260-3598
Country	:	US
Telephone Number	:	760-341-8878
Fax Number	:	760-341-8820

Provider Business Practice Location Address
First Line	:	73255 EL PASEO STE 11
Second Line	:
City	:	PALM DESERT
State	:	CA
Zip	:	92260-4249
Country	:	US
Telephone Number	:	760-341-8878
Fax Number	:	760-341-8820

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

Provider Enumeration Date	:	08/09/2006
Last Update Date	:	04/10/2024

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