Provider Demographics
NPI:1629793625
Name:TORRES, DALILA B
Entity Type:Individual
Prefix:
First Name:DALILA
Middle Name:B
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 1:528 N TAYLOR AVE APT 215
Mailing Address - Street 2:
Mailing Address - City:MONTEBELLO
Mailing Address - State:CA
Mailing Address - Zip Code:90640-3352
Mailing Address - Country:US
Mailing Address - Phone:323-641-1081
Mailing Address - Fax:
Practice Address - Street 1:528 N TAYLOR AVE APT 215
Practice Address - Street 2:
Practice Address - City:MONTEBELLO
Practice Address - State:CA
Practice Address - Zip Code:90640-3352
Practice Address - Country:US
Practice Address - Phone:323-641-1081
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-11
Last Update Date:2022-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374700000XNursing Service Related ProvidersTechnician