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Organization
JOSE TORREBLANCA MD INC.
Active
Organization
JOSE TORREBLANCA MD INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE MANUEL TORREBLANCA M.D. (OWNER)
(323) 588-2186
Entity
Organization
Contact information
Practice address
7128 SEVILLE AVE, HUNTINGTON PARK, CA 90255-4906
(323) 588-2186
(323) 588-0422
Mailing address
7128 SEVILLE AVE, HUNTINGTON PARK, CA 90255-4906
(323) 588-2186
(323) 588-0422
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
CA
207R00000X
Internal Medicine Physician
—
CA
208000000X
Pediatrics Physician
—
CA
208D00000X
General Practice Physician
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20A10109
MEDICAL LICENSE
CA
01
—
A41327
MEDICAL LICENSE
CA
01
—
A64451
MEDICAL LICENSE
CA
01
—
C41500
MEDICAL LICENSE
CA
Enumeration date
12/16/2013
Last updated
12/21/2015
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