Provider Demographics
NPI:1932787538
Name:ROTTO, TORSTEN JACOB (MD)
Entity type:Individual
Prefix:
First Name:TORSTEN
Middle Name:JACOB
Last Name:ROTTO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:50 E HAMILTON AVE STE 120
Mailing Address - Street 2:
Mailing Address - City:CAMPBELL
Mailing Address - State:CA
Mailing Address - Zip Code:95008-0251
Mailing Address - Country:US
Mailing Address - Phone:408-374-0401
Mailing Address - Fax:650-320-9443
Practice Address - Street 1:50 E HAMILTON AVE STE 120
Practice Address - Street 2:
Practice Address - City:CAMPBELL
Practice Address - State:CA
Practice Address - Zip Code:95008-0251
Practice Address - Country:US
Practice Address - Phone:408-374-0401
Practice Address - Fax:650-320-9443
Is Sole Proprietor?:No
Enumeration Date:2021-04-02
Last Update Date:2024-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA193397207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine