Provider Demographics
NPI:1790841948
Name:FRANK TORTORICE MD. INC
Entity Type:Organization
Organization Name:FRANK TORTORICE MD. INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:
Authorized Official - Last Name:TORTORICE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:650-992-6495
Mailing Address - Street 1:1275 CALIFORNIA DR STE B
Mailing Address - Street 2:
Mailing Address - City:BURLINGAME
Mailing Address - State:CA
Mailing Address - Zip Code:94010-3430
Mailing Address - Country:US
Mailing Address - Phone:650-692-7545
Mailing Address - Fax:650-692-7609
Practice Address - Street 1:1275 CALIFORNIA DR STE B
Practice Address - Street 2:
Practice Address - City:BURLINGAME
Practice Address - State:CA
Practice Address - Zip Code:94010-3430
Practice Address - Country:US
Practice Address - Phone:650-692-7545
Practice Address - Fax:650-692-7609
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-29
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ28679ZMedicare PIN