Healthcare Provider Details

I. General information

NPI: 1568471092
Provider Name (Legal Business Name): KATAYOUN TOOSIE M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/05/2006
Last Update Date: 11/12/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3998 VISTA WAY SUITE C200
OCEANSIDE CA
92056-4500
US

IV. Provider business mailing address

3998 VISTA WAY SUITE C200
OCEANSIDE CA
92056-4500
US

V. Phone/Fax

Practice location:
  • Phone: 760-724-5352
  • Fax: 760-724-5447
Mailing address:
  • Phone: 760-724-5352
  • Fax: 760-724-5447

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberA60211
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: