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NPI Code Detail

MEDICARE: CHRISTINA MARIE TOLEDO NP

MEDICARE: CHRISTINA MARIE TOLEDO NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner95004039CA

General Provider Information

NPI Number : 1821332016
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINA MARIE TOLEDO NP
Provider Business Mailing Address
First Line : 111 ELM ST
Second Line :
City : SAN DIEGO
State : CA
Zip : 92101-2692
Country : US
Telephone Number : 619-677-3800
Fax Number : 619-677-3880
Provider Business Practice Location Address
First Line : 111 ELM ST
Second Line :
City : SAN DIEGO
State : CA
Zip : 92101-2692
Country : US
Telephone Number : 619-677-3800
Fax Number : 619-677-3880
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/12/2012
Last Update Date : 01/29/2019

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Directions to “ CHRISTINA MARIE TOLEDO NP” Practice Location

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