Provider Demographics
NPI:1326218520
Name:TORRES, AMIGZARITH J (CST)
Entity Type:Individual
Prefix:MRS
First Name:AMIGZARITH
Middle Name:J
Last Name:TORRES
Suffix:
Gender:F
Credentials:CST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15326 NUBIA ST
Mailing Address - Street 2:
Mailing Address - City:BALDWIN PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91706-1926
Mailing Address - Country:US
Mailing Address - Phone:626-337-0776
Mailing Address - Fax:626-337-0776
Practice Address - Street 1:15326 NUBIA ST
Practice Address - Street 2:
Practice Address - City:BALDWIN PARK
Practice Address - State:CA
Practice Address - Zip Code:91706-1926
Practice Address - Country:US
Practice Address - Phone:626-337-0776
Practice Address - Fax:626-337-0776
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-04
Last Update Date:2008-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO062428246ZS0410X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZS0410XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Technologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO062428OtherAST/ASA(ASSOC- SURGICAL T
CA1720041OtherNOTARY PUBLIC