Healthcare Provider Details

I. General information

NPI: 1154482933
Provider Name (Legal Business Name): GREGORY K TOUMAYAN DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/13/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

290 N 10TH ST SUITE 100
COLTON CA
92324-3052
US

IV. Provider business mailing address

16702 VALLEY VIEW AVE
LA MIRADA CA
90638-5824
US

V. Phone/Fax

Practice location:
  • Phone: 909-264-2500
  • Fax: 909-264-2510
Mailing address:
  • Phone: 714-367-5360
  • Fax: 714-635-5428

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC20056
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: