Provider Demographics
NPI:1902424328
Name:ABAD, JULIETA TORRES
Entity type:Individual
Prefix:
First Name:JULIETA
Middle Name:TORRES
Last Name:ABAD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5232 MAKATI CIR
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95123-6244
Mailing Address - Country:US
Mailing Address - Phone:408-674-8394
Mailing Address - Fax:
Practice Address - Street 1:627 LARCHMONT DR
Practice Address - Street 2:
Practice Address - City:DALY CITY
Practice Address - State:CA
Practice Address - Zip Code:94015-3637
Practice Address - Country:US
Practice Address - Phone:650-994-3673
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-13
Last Update Date:2020-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide
No374U00000XNursing Service Related ProvidersHome Health Aide