Provider Demographics
NPI:1417680521
Name:TORRES, DAISY Z
Entity Type:Individual
Prefix:
First Name:DAISY
Middle Name:Z
Last Name:TORRES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32802 VALLE RD SPC 39
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN CAPISTRANO
Mailing Address - State:CA
Mailing Address - Zip Code:92675-4523
Mailing Address - Country:US
Mailing Address - Phone:949-289-3433
Mailing Address - Fax:
Practice Address - Street 1:32121 CAMINO CAPISTRANO
Practice Address - Street 2:
Practice Address - City:SAN JUAN CAPISTRANO
Practice Address - State:CA
Practice Address - Zip Code:92675-3716
Practice Address - Country:US
Practice Address - Phone:949-493-2178
Practice Address - Fax:949-493-9679
Is Sole Proprietor?:No
Enumeration Date:2022-07-06
Last Update Date:2022-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CATCH173037183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician