Provider Demographics
NPI:1689837338
Name:DEL TORO-DIAZ, CHRISTINA (MD)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:
Last Name:DEL TORO-DIAZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 9879
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93389-1879
Mailing Address - Country:US
Mailing Address - Phone:661-321-3465
Mailing Address - Fax:661-847-0220
Practice Address - Street 1:9908 BRIMHALL RD
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93312-2801
Practice Address - Country:US
Practice Address - Phone:661-321-3465
Practice Address - Fax:661-847-0220
Is Sole Proprietor?:No
Enumeration Date:2008-07-02
Last Update Date:2015-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA110108207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA110108OtherMEDICAL LICENSE
CAZZZ15376ZMedicare PIN