Provider Demographics
NPI:1457599441
Name:TOLEDO, MARK C (NP)
Entity Type:Individual
Prefix:
First Name:MARK
Middle Name:C
Last Name:TOLEDO
Suffix:
Gender:M
Credentials:NP
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Mailing Address - Street 1:2340 PLAZA DEL AMO
Mailing Address - Street 2:SUITE 115
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90501-3445
Mailing Address - Country:US
Mailing Address - Phone:310-781-1414
Mailing Address - Fax:310-781-1424
Practice Address - Street 1:2340 PLAZA DEL AMO
Practice Address - Street 2:SUITE 115
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90501-3445
Practice Address - Country:US
Practice Address - Phone:310-781-1414
Practice Address - Fax:310-781-1424
Is Sole Proprietor?:No
Enumeration Date:2009-01-28
Last Update Date:2009-01-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA628787363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner