Provider Demographics
NPI:1497795520
Name:TORRES, REBECCA (MD)
Entity Type:Individual
Prefix:MS
First Name:REBECCA
Middle Name:
Last Name:TORRES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1530 W 6TH ST
Mailing Address - Street 2:SUITE 109
Mailing Address - City:CORONA
Mailing Address - State:CA
Mailing Address - Zip Code:92882-2742
Mailing Address - Country:US
Mailing Address - Phone:951-279-2171
Mailing Address - Fax:951-279-4514
Practice Address - Street 1:1530 W 6TH ST
Practice Address - Street 2:SUITE 109
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92882-2742
Practice Address - Country:US
Practice Address - Phone:951-279-2171
Practice Address - Fax:951-279-4514
Is Sole Proprietor?:No
Enumeration Date:2006-06-07
Last Update Date:2011-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA91739207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAAZ751ZOtherMEDICARE PTAN