Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | 036119723 | IL |
Y | 207P00000X | Emergency Physician | A109481 | CA |
N | 207R00000X | Internist | 036119723 | IL |
N | 111NI0900X | Internist | 036119723 | IL |
N | 207R00000X | Internist | A109481 | CA |
N | 111NI0900X | Internist | A109481 | CA |
NPI | 1013198696 |
---|---|
Provider Name | Dr. Vaishal Mahendra Tolia |
First Address | San Diego, CA 92193-2410 |
Second Address | San Diego, CA 92103-8676 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/11/2007 |
Last Update Date | 28/02/2020 |