Provider Demographics
NPI:1184268294
Name:TORREZ, TONY JAMES (DPT, LCMT)
Entity type:Individual
Prefix:DR
First Name:TONY
Middle Name:JAMES
Last Name:TORREZ
Suffix:
Gender:M
Credentials:DPT, LCMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5335 RUCKER DR
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95124-5645
Mailing Address - Country:US
Mailing Address - Phone:805-455-8171
Mailing Address - Fax:
Practice Address - Street 1:1194 S DE ANZA BLVD
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95129-3632
Practice Address - Country:US
Practice Address - Phone:408-257-2225
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-31
Last Update Date:2019-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT297454208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation