Individual
ELIZABETH TORRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
30300 CAMINO CAPISTRANO, SAN JUAN CAPISTRANO, CA 92675-1304
(949) 240-2030
Mailing address
30300 CAMINO CAPISTRANO, SAN JUAN CAPISTRANO, CA 92675-1304
(949) 240-2030
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA18717
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA 18717
CALIFORNIA PA LICENSE
CA
Enumeration date
06/14/2007
Last updated
08/21/2023
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