Provider Demographics
NPI:1477359461
Name:TORTUYA, JOSEPHINE T
Entity type:Individual
Prefix:
First Name:JOSEPHINE
Middle Name:T
Last Name:TORTUYA
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:539 E 213TH ST
Mailing Address - Street 2:
Mailing Address - City:CARSON
Mailing Address - State:CA
Mailing Address - Zip Code:90745-2102
Mailing Address - Country:US
Mailing Address - Phone:562-522-7355
Mailing Address - Fax:424-477-5309
Practice Address - Street 1:539 E 213TH ST
Practice Address - Street 2:
Practice Address - City:CARSON
Practice Address - State:CA
Practice Address - Zip Code:90745-2102
Practice Address - Country:US
Practice Address - Phone:562-522-7355
Practice Address - Fax:424-477-5309
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-20
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care