Miki K. Tortorelli, N.P.-C
Nurse Practitioner, Family in Fountain Valley, CA. Individual provider (NPI-1).
NPI number1750772000
StatusActive
Last updated in NPPESSep 19, 2019
Details
- NPI
- 1750772000
- Entity type
- Individual (NPI-1)
- Name
- Miki K. Tortorelli
- Credential
- N.P.-C
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 9, 2015
- Last updated
- Sep 19, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | NP95001943 | CA | Yes |
| 163W00000X | Registered Nurse | 745193 | CA | |
| 363LF0000X | Nurse Practitioner, Family | NPF95001943 | CA |
Practice location
16055 Brookhurst St Ste CFountain Valley, CA 92708-1566
Phone 714-839-2400
Mailing address
16055 Brookhurst St Ste CFountain Valley, CA 92708-1566
Phone 714-839-2400 · Fax 714-839-2401
Other practice locations
2777 Pacific Ave
Long Beach, CA 90806-2625
Long Beach, CA 90806-2625
Phone 562-426-6571
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