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NPI Code Detail

MEDICARE: JARED TORRES DPT, PT

MEDICARE: JARED TORRES DPT, PT
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
1225100000XPhysical Therapist295388CA

General Provider Information

NPI Number : 1750862371
Entity Type Code : Individual
Provider Name (Legal Business Name) : JARED TORRES DPT, PT
Provider Business Mailing Address
First Line : 6745 VANPORT AVE
Second Line :
City : WHITTIER
State : CA
Zip : 90606-1629
Country : US
Telephone Number : 562-695-4396
Fax Number :
Provider Business Practice Location Address
First Line : 7941 BEACH BLVD STE J
Second Line :
City : BUENA PARK
State : CA
Zip : 90620-1900
Country : US
Telephone Number : 714-736-6855
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2018
Last Update Date : 08/22/2018

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