Provider Demographics
NPI:1053453548
Name:TORIUMI, MICHAEL M (DPM)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:M
Last Name:TORIUMI
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2477 CHESTNUT STREET
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94123-2505
Mailing Address - Country:US
Mailing Address - Phone:415-921-1922
Mailing Address - Fax:415-921-0771
Practice Address - Street 1:2477 CHESTNUT STREET
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94123-2505
Practice Address - Country:US
Practice Address - Phone:415-921-1922
Practice Address - Fax:415-921-0771
Is Sole Proprietor?:No
Enumeration Date:2007-02-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAE2499213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
T11362Medicare UPIN