Provider Demographics
NPI:1467062471
Name:DEL TORO, ISAAC (DC)
Entity Type:Individual
Prefix:
First Name:ISAAC
Middle Name:
Last Name:DEL TORO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:488 MAIN ST
Mailing Address - Street 2:STE 100
Mailing Address - City:MURPHYS
Mailing Address - State:CA
Mailing Address - Zip Code:95247-9720
Mailing Address - Country:US
Mailing Address - Phone:925-676-2820
Mailing Address - Fax:925-672-9222
Practice Address - Street 1:488 MAIN ST
Practice Address - Street 2:STE 100
Practice Address - City:MURPHYS
Practice Address - State:CA
Practice Address - Zip Code:95247-9720
Practice Address - Country:US
Practice Address - Phone:925-676-2820
Practice Address - Fax:925-672-9222
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-04
Last Update Date:2022-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA34851111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA34851OtherCALIFORNIA BOARD OF CHIROPRACTIC