Provider Demographics
NPI:1639758576
Name:TORIBIO DIONICIO, CRHISTIAN GABRIEL
Entity type:Individual
Prefix:
First Name:CRHISTIAN
Middle Name:GABRIEL
Last Name:TORIBIO DIONICIO
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 1:9500 GILMAN DR MAIL CODE #0876
Mailing Address - Street 2:
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92093-0876
Mailing Address - Country:US
Mailing Address - Phone:619-208-2728
Mailing Address - Fax:
Practice Address - Street 1:9500 GILMAN DR MAIL CODE #0876
Practice Address - Street 2:
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92093-0876
Practice Address - Country:US
Practice Address - Phone:619-208-2728
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-07
Last Update Date:2024-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program