Provider Demographics
NPI:1801013461
Name:TOLEDO, GIANNI CARLO PERALTA
Entity Type:Individual
Prefix:MR
First Name:GIANNI CARLO
Middle Name:PERALTA
Last Name:TOLEDO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8817 AND A HALF RAMONA ST.
Mailing Address - Street 2:
Mailing Address - City:BELLFLOWER
Mailing Address - State:CA
Mailing Address - Zip Code:90706-6334
Mailing Address - Country:US
Mailing Address - Phone:562-630-0342
Mailing Address - Fax:
Practice Address - Street 1:8817 AND A HALF RAMONA ST.
Practice Address - Street 2:
Practice Address - City:BELLFLOWER
Practice Address - State:CA
Practice Address - Zip Code:90706-6334
Practice Address - Country:US
Practice Address - Phone:562-630-0342
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAVN222733164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse