Healthcare Provider Details

I. General information

NPI: 1417447426
Provider Name (Legal Business Name): CYRIL TORADO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/15/2018
Last Update Date: 10/28/2022
Certification Date: 10/28/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4860 Y ST STE 1600
SACRAMENTO CA
95817-2307
US

IV. Provider business mailing address

725 HAMLINE ST
GRAND FORKS ND
58203-2819
US

V. Phone/Fax

Practice location:
  • Phone: 916-734-3630
  • Fax:
Mailing address:
  • Phone: 701-780-6825
  • Fax: 701-780-4391

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberRL15081
License Number StateND
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberA173954
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: