IndividualActive
Jesse Detorres, CO
NPI 1952599722 · Orthotist · Oakland, CA
Provider details
- NPI number
- 1952599722
- Entity type
- Individual
- Primary specialty
- OrthotistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- CO
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
433 Hegenberger Rd Ste 100
Oakland, CA 94621-1448
Phone: (510) 430-2500
Approximate (ZIP-level) locationGet directions
Mailing address
433 Hegenberger Rd Ste 100
Oakland, CA 94621-1448
Registry dates
- Enumerated
- 2007-10-05
- Last updated
- 2007-10-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.