Healthcare Provider Details

I. General information

NPI: 1396076790
Provider Name (Legal Business Name): TODOROFF AND CHAPMAN A PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/25/2010
Last Update Date: 01/25/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

410 S SANTA FE AVE SUITE 202
VISTA CA
92084-6163
US

IV. Provider business mailing address

410 S SANTA FE AVE SUITE 202
VISTA CA
92084-6163
US

V. Phone/Fax

Practice location:
  • Phone: 760-726-4275
  • Fax: 760-726-4278
Mailing address:
  • Phone: 760-726-4275
  • Fax: 760-726-4278

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. LAURA J TODOROFF
Title or Position: PRESIDENT
Credential: DO
Phone: 760-726-4275