Healthcare Provider Details

I. General information

NPI: 1457875114
Provider Name (Legal Business Name): ALEJANDRO TORUNO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/02/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7322 CRAVELL AVE
PICO RIVERA CA
90660-4005
US

IV. Provider business mailing address

7322 SOUTH CRAVELL AVE
PICO RIVERA CA
90660
US

V. Phone/Fax

Practice location:
  • Phone: 213-270-5943
  • Fax:
Mailing address:
  • Phone: 213-270-5943
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateCA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: