Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207K00000X | Allergist & Immunologist | G59827 | CA |
N | 207RA0201X | Internist - Allergy & Immunology | G59827 | CA |
NPI | 1962438192 |
---|---|
Provider Name | Clara M. Toro |
First Address | Chula Vista, CA 91912-5554 |
Second Address | Chula Vista, CA 91910-3813 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00G598271 | (05) | CA |
D91100 | (02) | CA |