Healthcare Provider Details
I. General information
NPI: 1255351631
Provider Name (Legal Business Name): STEVE TORTORICE DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/20/2006
Last Update Date: 04/03/2018
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1756 N MAIN ST
SALINAS CA
93906-5103
US
IV. Provider business mailing address
100 WILSON RD
MONTEREY CA
93940-7885
US
V. Phone/Fax
- Phone: 831-443-8200
- Fax: 831-449-3493
- Phone: 831-649-1000
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | 20A12227 |
| License Number State | CA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | OS010964L |
| License Number State | PA |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | 51812 |
| License Number State | MN |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: