Provider Demographics
NPI:1518182948
Name:TORTONA, CHELSEA CHIEKO (MA)
Entity type:Individual
Prefix:MRS
First Name:CHELSEA
Middle Name:CHIEKO
Last Name:TORTONA
Suffix:
Gender:F
Credentials:MA
Other - Prefix:MS
Other - First Name:CHELSEA
Other - Middle Name:CHIEKO
Other - Last Name:TENGAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:3545 REYNARD WAY
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92103-3808
Mailing Address - Country:US
Mailing Address - Phone:619-546-9400
Mailing Address - Fax:
Practice Address - Street 1:3020 CHILDRENS WAY
Practice Address - Street 2:MC 5111
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92123-4223
Practice Address - Country:US
Practice Address - Phone:858-966-1700
Practice Address - Fax:858-966-7521
Is Sole Proprietor?:No
Enumeration Date:2007-04-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist