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NPI Code Detail

MEDICARE: MS. ELIZABETH ROSEMARY DE LA TORRE

MEDICARE:  MS. ELIZABETH ROSEMARY DE LA TORRE
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
1101YA0400XAddiction (Substance Use Disorder) Counselor9466CA

General Provider Information

NPI Number : 1588898324
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ELIZABETH ROSEMARY DE LA TORRE
Provider Business Mailing Address
First Line : 540 S EREMLAND DR STE A
Second Line :
City : COVINA
State : CA
Zip : 91723-3186
Country : US
Telephone Number : 626-966-1577
Fax Number : 626-966-5784
Provider Business Practice Location Address
First Line : 850 E FOOTHILL BLVD
Second Line :
City : RIALTO
State : CA
Zip : 92376-5230
Country : US
Telephone Number : 909-421-4660
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/07/2009
Last Update Date : 01/27/2026

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Directions to “ MS. ELIZABETH ROSEMARY DE LA TORRE ” Practice Location

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