Provider Demographics
NPI:1124416532
Name:TORRES, ABELARDO C JR
Entity Type:Individual
Prefix:MR
First Name:ABELARDO
Middle Name:C
Last Name:TORRES
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1942 DEERPARK DR APT 131
Mailing Address - Street 2:
Mailing Address - City:FULLERTON
Mailing Address - State:CA
Mailing Address - Zip Code:92831-1534
Mailing Address - Country:US
Mailing Address - Phone:714-400-1181
Mailing Address - Fax:
Practice Address - Street 1:1942 DEERPARK DR APT 131
Practice Address - Street 2:
Practice Address - City:FULLERTON
Practice Address - State:CA
Practice Address - Zip Code:92831-1534
Practice Address - Country:US
Practice Address - Phone:714-400-1181
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-07
Last Update Date:2015-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA11548225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist