Provider Demographics
NPI:1306681689
Name:TORREZ, CYNTHIA ANN (PSYCHIATRIC TECH)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:ANN
Last Name:TORREZ
Suffix:
Gender:F
Credentials:PSYCHIATRIC TECH
Other - Prefix:
Other - First Name:CYNTHIA
Other - Middle Name:ANN
Other - Last Name:TORREZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1095 KENDALL DR APT N201
Mailing Address - Street 2:
Mailing Address - City:SAN BERNARDINO
Mailing Address - State:CA
Mailing Address - Zip Code:92407-5831
Mailing Address - Country:US
Mailing Address - Phone:909-633-5358
Mailing Address - Fax:
Practice Address - Street 1:1095 KENDALL DR APT N201
Practice Address - Street 2:
Practice Address - City:SAN BERNARDINO
Practice Address - State:CA
Practice Address - Zip Code:92407-5831
Practice Address - Country:US
Practice Address - Phone:909-633-5358
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-27
Last Update Date:2024-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA24278167G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes167G00000XNursing Service ProvidersLicensed Psychiatric Technician