=====================================================
General NPI Number Information
=====================================================
NPI Number | 1366902629
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ISABEL CHRISTINA DEL TORO NP-C
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/22/2019
-----------------------------------------------------
Last Update Date | 03/22/2019
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 12371 IMPERIAL HWY
-----------------------------------------------------
City | NORWALK
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 90650-3129
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 562-929-5000
-----------------------------------------------------
Fax | 562-375-6286
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 12371 IMPERIAL HWY
-----------------------------------------------------
City | NORWALK
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 90650-3129
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 562-929-5000
-----------------------------------------------------
Fax | 562-375-6286
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number | 95011179
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------