Healthcare Provider Details

I. General information

NPI: 1316029192
Provider Name (Legal Business Name): TOI MANAGEMENT, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/20/2006
Last Update Date: 04/08/2024
Certification Date: 04/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15262 GOLDENWEST ST
WESTMINSTER CA
92683-6169
US

IV. Provider business mailing address

15262 GOLDENWEST ST
WESTMINSTER CA
92683-6169
US

V. Phone/Fax

Practice location:
  • Phone: 714-430-3865
  • Fax: 833-412-0480
Mailing address:
  • Phone: 714-430-3865
  • Fax: 833-412-0480

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State

VIII. Authorized Official

Name: JEREMY CASTLE
Title or Position: COO
Credential:
Phone: 714-430-3865