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NPI Code Detail

MEDICARE: CONSTANCE MARY TORREZ CHW

MEDICARE: CONSTANCE MARY TORREZ CHW
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
1172V00000XCommunity Health WorkerCA
2101YA0400XAddiction (Substance Use Disorder) CounselorCA
3374700000XTechnicianR1430180521CA

General Provider Information

NPI Number : 1619543428
Entity Type Code : Individual
Provider Name (Legal Business Name) : CONSTANCE MARY TORREZ CHW
Provider Business Mailing Address
First Line : 3286 E GUASTI RD STE 100
Second Line :
City : ONTARIO
State : CA
Zip : 91761-8646
Country : US
Telephone Number : 909-476-2023
Fax Number :
Provider Business Practice Location Address
First Line : 7344 MAGNOLIA AVE STE 110
Second Line :
City : RIVERSIDE
State : CA
Zip : 92504-3819
Country : US
Telephone Number : 951-404-0856
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2021
Last Update Date : 07/17/2025

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Directions to “ CONSTANCE MARY TORREZ CHW” Practice Location

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