Healthcare Provider Details

I. General information

NPI: 1801652953
Provider Name (Legal Business Name): ANGEL DEL TORO JR.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/26/2024
Last Update Date: 06/24/2025
Certification Date: 06/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4205 W FIGARDEN DR
FRESNO CA
93722-6051
US

IV. Provider business mailing address

1325 PEACHCREEK AVE
DINUBA CA
93618-5105
US

V. Phone/Fax

Practice location:
  • Phone: 559-221-1680
  • Fax:
Mailing address:
  • Phone: 559-430-7390
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code373H00000X
TaxonomyDay Training/Habilitation Specialist
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: