Provider Demographics
NPI:1619961745
Name:TORO, JOHN ABRAHAM (D C)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:ABRAHAM
Last Name:TORO
Suffix:
Gender:M
Credentials:D C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8222 VICKERS ST
Mailing Address - Street 2:STE 108
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92111-2118
Mailing Address - Country:US
Mailing Address - Phone:858-292-4040
Mailing Address - Fax:858-292-5272
Practice Address - Street 1:8222 VICKERS ST
Practice Address - Street 2:STE 108
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92111-2118
Practice Address - Country:US
Practice Address - Phone:858-292-4040
Practice Address - Fax:858-292-5272
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-05
Last Update Date:2018-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC24639111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC24639Medicare ID - Type UnspecifiedMEDICARE