Provider Demographics
NPI:1730400904
Name:TOSH, CHRISTOPHER MICHAEL (DC)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:MICHAEL
Last Name:TOSH
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1240 S WESTLAKE BLVD STE 133
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91361-1986
Mailing Address - Country:US
Mailing Address - Phone:805-373-2639
Mailing Address - Fax:805-373-2638
Practice Address - Street 1:1240 S WESTLAKE BLVD STE 133
Practice Address - Street 2:
Practice Address - City:WESTLAKE VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91361-1986
Practice Address - Country:US
Practice Address - Phone:805-373-2639
Practice Address - Fax:805-373-2638
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-22
Last Update Date:2024-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA31679111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
DS726AMedicare PIN