Healthcare Provider Details

I. General information

NPI: 1730210378
Provider Name (Legal Business Name): BRUCE EDWARD TORNOE RCP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/07/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3801 MIRANDA AVE RESPIRATORY THERAPY
PALO ALTO CA
94304-1207
US

IV. Provider business mailing address

1430 GORDON ST APT I
REDWOOD CITY CA
94061-2755
US

V. Phone/Fax

Practice location:
  • Phone: 650-493-5000
  • Fax:
Mailing address:
  • Phone: 650-365-4410
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2278C0205X
TaxonomyCritical Care Certified Respiratory Therapist
License Number656
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: