Provider Demographics
NPI:1669707063
Name:TOY, STANLEY JR (MD)
Entity type:Individual
Prefix:DR
First Name:STANLEY
Middle Name:
Last Name:TOY
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:420 W LAS TUNAS DR
Mailing Address - Street 2:
Mailing Address - City:SAN GABRIEL
Mailing Address - State:CA
Mailing Address - Zip Code:91776-1268
Mailing Address - Country:US
Mailing Address - Phone:626-296-9500
Mailing Address - Fax:626-296-9500
Practice Address - Street 1:420 W LAS TUNAS DR
Practice Address - Street 2:
Practice Address - City:SAN GABRIEL
Practice Address - State:CA
Practice Address - Zip Code:91776-1268
Practice Address - Country:US
Practice Address - Phone:626-296-9500
Practice Address - Fax:626-296-9505
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-02
Last Update Date:2010-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG32125208D00000X, 207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine