Healthcare Provider Details

I. General information

NPI: 1467062471
Provider Name (Legal Business Name): ISAAC DEL TORO D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/04/2020
Last Update Date: 08/09/2022
Certification Date: 08/09/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

488 MAIN ST STE 100
MURPHYS CA
95247-9720
US

IV. Provider business mailing address

488 MAIN ST STE 100
MURPHYS CA
95247-9720
US

V. Phone/Fax

Practice location:
  • Phone: 925-676-2820
  • Fax: 925-672-9222
Mailing address:
  • Phone: 925-676-2820
  • Fax: 925-672-9222

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number34851
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: