Individual
JOSE F TORREBLANCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
10001 CALIFORNIA AVE, SOUTH GATE, CA 90280-6005
(323) 564-4408
(323) 564-9641
Mailing address
10001 CALIFORNIA AVE, SOUTH GATE, CA 90280-6005
(323) 564-4408
(323) 564-9641
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
20A10109
CA
208D00000X
General Practice Physician
20A10109
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0AX101090
—
CA
05
—
100513361
—
NV
01
—
1871619346
MEDICARE
CA
Enumeration date
03/22/2007
Last updated
12/12/2011
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