Provider Demographics
NPI:1073838611
Name:TWITO, TORY ROCHELLE (DO)
Entity Type:Individual
Prefix:MS
First Name:TORY
Middle Name:ROCHELLE
Last Name:TWITO
Suffix:
Gender:F
Credentials:DO
Other - Prefix:MS
Other - First Name:TORY
Other - Middle Name:ROCHELLE
Other - Last Name:WEBER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3880 MURPHY CANYON RD STE 200
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92123-4411
Mailing Address - Country:US
Mailing Address - Phone:858-636-4300
Mailing Address - Fax:858-636-4319
Practice Address - Street 1:865 3RD AVE STE 101
Practice Address - Street 2:
Practice Address - City:CHULA VISTA
Practice Address - State:CA
Practice Address - Zip Code:91911-1349
Practice Address - Country:US
Practice Address - Phone:619-426-7910
Practice Address - Fax:619-426-2337
Is Sole Proprietor?:No
Enumeration Date:2010-04-06
Last Update Date:2018-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOP60585016208000000X
CA20A12114208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics