MEDICARE: JENNIFER D TORRES PPS

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	101YS0200X	School Counselor	PPS	CA

General Provider Information

NPI Number	:	1598623233
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER D TORRES PPS

Provider Business Mailing Address
First Line	:	18299 5TH AVE
Second Line	:
City	:	JAMESTOWN
State	:	CA
Zip	:	95327-9671
Country	:	US
Telephone Number	:	209-984-5217
Fax Number	:

Provider Business Practice Location Address
First Line	:	18299 5TH AVE
Second Line	:
City	:	JAMESTOWN
State	:	CA
Zip	:	95327-9671
Country	:	US
Telephone Number	:	209-984-5217
Fax Number	:

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

Provider Enumeration Date	:	01/12/2026
Last Update Date	:	01/12/2026

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Directions to “ JENNIFER D TORRES PPS” Practice Location

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