Healthcare Provider Details

I. General information

NPI: 1033444120
Provider Name (Legal Business Name): PAUL ALEXANDER TOOGOOD M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/08/2009
Last Update Date: 12/14/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2550 23RD ST BUILDING 9, 2ND FLOOR
SAN FRANCISCO CA
94110-3504
US

IV. Provider business mailing address

628 VENTURA AVE
SAN MATEO CA
94403-3226
US

V. Phone/Fax

Practice location:
  • Phone: 513-319-1916
  • Fax:
Mailing address:
  • Phone: 513-319-1916
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XX0801X
TaxonomyOrthopaedic Trauma Physician
License NumberA115067
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: