Healthcare Provider Details

I. General information

NPI: 1821140872
Provider Name (Legal Business Name): VICENTE G GARZO-TORO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: V.GABRIEL GARZO MD

II. Dates (important events)

Enumeration Date: 01/18/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9850 GENESEE AVE STE 800
LA JOLLA CA
92037-1224
US

IV. Provider business mailing address

9850 GENESEE AVE STE 800
LA JOLLA CA
92037-1224
US

V. Phone/Fax

Practice location:
  • Phone: 858-552-9177
  • Fax: 858-552-9188
Mailing address:
  • Phone: 858-552-9177
  • Fax: 858-552-9188

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License NumberA43141
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: