Provider Demographics
NPI:1659389708
Name:TORTOSA, LORRAINE N (MD)
Entity Type:Individual
Prefix:
First Name:LORRAINE
Middle Name:N
Last Name:TORTOSA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:480 PLUMAS BLVD
Mailing Address - Street 2:
Mailing Address - City:YUBA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95991-5005
Mailing Address - Country:US
Mailing Address - Phone:530-749-3520
Mailing Address - Fax:530-749-3624
Practice Address - Street 1:480 PLUMAS BLVD
Practice Address - Street 2:
Practice Address - City:YUBA CITY
Practice Address - State:CA
Practice Address - Zip Code:95991-5005
Practice Address - Country:US
Practice Address - Phone:530-749-3520
Practice Address - Fax:530-749-3624
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG33741207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAP00779829OtherRAILROAD MEDICARE
CA00G337410Medicaid
CA00G337410Medicaid
A45663Medicare UPIN
CA00G337410Medicaid