Provider Demographics
NPI:1144572223
Name:TORREY COAST HEALTH SERVICES, INC.
Entity Type:Organization
Organization Name:TORREY COAST HEALTH SERVICES, INC.
Other - Org Name:TORREY COAST HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXEC VP, TREASURER
Authorized Official - Prefix:MR
Authorized Official - First Name:RODEL
Authorized Official - Middle Name:R
Authorized Official - Last Name:AGPAOA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-733-7818
Mailing Address - Street 1:1428 HIGHLAND AVE
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:NATIONAL CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91950-4624
Mailing Address - Country:US
Mailing Address - Phone:619-733-7818
Mailing Address - Fax:619-434-8362
Practice Address - Street 1:1428 HIGHLAND AVE
Practice Address - Street 2:2ND FLOOR
Practice Address - City:NATIONAL CITY
Practice Address - State:CA
Practice Address - Zip Code:91950-4624
Practice Address - Country:US
Practice Address - Phone:619-733-7818
Practice Address - Fax:619-434-8362
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-12
Last Update Date:2012-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health