Individual
GEORGE RAUL TORRES III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1950 3RD ST, LA VERNE, CA 91750-4401
(909) 593-3511
Mailing address
1303 DURFEE AVE, SOUTH EL MONTE, CA 91733-3900
(626) 617-5583
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
F3519605
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
U2982504503
CIGNA
CA
Enumeration date
01/03/2021
Last updated
01/29/2021
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