Healthcare Provider Details

I. General information

NPI: 1790828754
Provider Name (Legal Business Name): CYRUS TORCHINSKY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/15/2007
Last Update Date: 12/06/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 W ARBOR DR DEPT 8895
SAN DIEGO CA
92103-8895
US

IV. Provider business mailing address

200 W ARBOR DR DEPT 8895
SAN DIEGO CA
92103-8895
US

V. Phone/Fax

Practice location:
  • Phone: 619-543-5910
  • Fax: 619-543-5521
Mailing address:
  • Phone: 619-543-5910
  • Fax: 619-543-5521

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License NumberA88768
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: