Healthcare Provider Details

I. General information

NPI: 1366115297
Provider Name (Legal Business Name): JORGE MANUEL CATRIP TORRES MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/27/2021
Last Update Date: 07/27/2021
Certification Date: 06/29/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2335 STOCKTON BLVD FL 6
SACRAMENTO CA
95817-2201
US

IV. Provider business mailing address

2860 HONEY OPAL AVE
SACRAMENTO CA
95833-4456
US

V. Phone/Fax

Practice location:
  • Phone: 916-734-7255
  • Fax:
Mailing address:
  • Phone: 916-840-4516
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208G00000X
TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
License NumberF669
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: