Healthcare Provider Details

I. General information

NPI: 1487913588
Provider Name (Legal Business Name): JAMES TOLDI D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/09/2012
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4010 SORRENTO VALLEY BLVD STE 300
SAN DIEGO CA
92121-1433
US

IV. Provider business mailing address

6699 ALVARADO RD STE 2100
SAN DIEGO CA
92120-5238
US

V. Phone/Fax

Practice location:
  • Phone: 858-793-7860
  • Fax: 858-436-1289
Mailing address:
  • Phone: 619-229-3909
  • Fax: 619-229-3902

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License NumberOS12710
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: