Provider Demographics
NPI:1861295180
Name:DEL TORO, KIMBERLY AMBROSE
Entity type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:AMBROSE
Last Name:DEL TORO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5049 SULPHUR DR
Mailing Address - Street 2:
Mailing Address - City:JURUPA VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:91752-2911
Mailing Address - Country:US
Mailing Address - Phone:951-224-1550
Mailing Address - Fax:
Practice Address - Street 1:5049 SULPHUR DR
Practice Address - Street 2:
Practice Address - City:JURUPA VALLEY
Practice Address - State:CA
Practice Address - Zip Code:91752-2911
Practice Address - Country:US
Practice Address - Phone:951-224-1550
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-31
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program