Provider Demographics
NPI:1356548564
Name:TARONGOY, MICHAEL (DC, QME, IDE)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:
Last Name:TARONGOY
Suffix:
Gender:M
Credentials:DC, QME, IDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:550 WASHINGTON STREET SUITE# 111
Mailing Address - Street 2:
Mailing Address - City:DALY CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94015
Mailing Address - Country:US
Mailing Address - Phone:650-755-4066
Mailing Address - Fax:650-755-4067
Practice Address - Street 1:550 WASHINGTON ST STE 111
Practice Address - Street 2:
Practice Address - City:DALY CITY
Practice Address - State:CA
Practice Address - Zip Code:94015-1929
Practice Address - Country:US
Practice Address - Phone:650-755-4066
Practice Address - Fax:650-755-4067
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA28182111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor