Provider Demographics
NPI:1760420913
Name:TORRADO - RIDGLEY, BEATRIZ M (DO)
Entity Type:Individual
Prefix:
First Name:BEATRIZ
Middle Name:M
Last Name:TORRADO - RIDGLEY
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8255 FIRESTONE BLVD
Mailing Address - Street 2:SUTIE 500
Mailing Address - City:DOWNEY
Mailing Address - State:CA
Mailing Address - Zip Code:90241-4800
Mailing Address - Country:US
Mailing Address - Phone:562-231-2470
Mailing Address - Fax:562-231-2479
Practice Address - Street 1:8255 FIRESTONE BLVD
Practice Address - Street 2:SUTIE 500
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90241-4800
Practice Address - Country:US
Practice Address - Phone:562-231-2470
Practice Address - Fax:562-231-2479
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-02
Last Update Date:2015-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A6750207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
020A67500OtherBLUE SHIELD ID #
061212OtherHEALTH NET ID #
080117274OtherRAILROAD
P00361833OtherRAILROAD
CA00AX67500Medicaid
CA00AX67500Medicaid
CAW20A6750CMedicare PIN
CA00AX67500Medicaid
CAW20A6750BMedicare PIN