Provider Demographics
NPI:1811327356
Name:TORRES, JAMIE (PA)
Entity type:Individual
Prefix:
First Name:JAMIE
Middle Name:
Last Name:TORRES
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:15954 JACKSON CREEK PKWY STE B
Mailing Address - Street 2:
Mailing Address - City:MONUMENT
Mailing Address - State:CO
Mailing Address - Zip Code:80132-8532
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1601 MONTE VISTA AVE
Practice Address - Street 2:SUITE 190
Practice Address - City:CLAREMONT
Practice Address - State:CA
Practice Address - Zip Code:91711-2962
Practice Address - Country:US
Practice Address - Phone:909-865-9977
Practice Address - Fax:909-946-0166
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-20
Last Update Date:2020-06-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA51315363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant