Individual provider · Type 1 NPI

Derrick Tonto

Military Health Care Provider · San Diego, CA

NPI number 1497568075 Active

Practice location

34800 Bob Wilson Dr
San Diego, CA 92134-1098

Specialties and licenses

TaxonomyCodeLicense
Military Health Care Provider Primary 171000000XNone listed

Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

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About NPI 1497568075

Derrick Tonto's National Provider Identifier is 1497568075, issued on Jan 28, 2025. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in San Diego, CA. The record was last updated on Jan 28, 2025.