Rebecca Torres Md A Medical Corporation | |
1530 W 6th St Ste. 109 Corona CA 92882-2742 | |
(951) 279-2171 | |
(951) 279-4514 |
Full Name | Rebecca Torres Md A Medical Corporation |
---|---|
Speciality | Clinic/Center |
Location | 1530 W 6th St, Corona, California |
Authorized Official Name and Position | Rebecca Torres (OWNER) |
Authorized Official Contact | 9512792171 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Rebecca Torres Md A Medical Corporation 1530 W 6th St Ste. 109 Corona CA 92882-2742 Ph: (951) 279-2171 | Rebecca Torres Md A Medical Corporation 1530 W 6th St Ste. 109 Corona CA 92882-2742 Ph: (951) 279-2171 |
NPI Number | 1215103304 |
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Provider Enumeration Date | 05/08/2008 |
Last Update Date | 09/29/2011 |
Medicare PECOS PAC ID | 2062573843 |
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Medicare Enrollment ID | O20081211000769 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215103304 | NPI | - | NPPES |
AZ752 | Other | CA | MEDICARE PTAN |
1215103304 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | A91739 (California) | Primary |
Provider Name | Rebecca Torres |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1497795520 PECOS PAC ID: 7315955531 Enrollment ID: I20060330000187 |
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