# KEVIN T. TOLIVER, M.D., INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962650432
- **Authorized official:** MS. CHERI CURTIS MPH (ADMINISTRATOR)
- **Authorized official phone:** (619) 299-8500

## Contact information

- **Practice address:** 4060 4TH AVE, SUITE 700, SAN DIEGO, CA 92103-2116
- **Practice address phone:** (619) 299-8500
- **Practice address fax:** (619) 297-1443
- **Mailing address:** 4060 4TH AVE, SUITE 700, SAN DIEGO, CA 92103-2116
- **Mailing address phone:** (619) 299-8500
- **Mailing address fax:** (619) 297-1443

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | G76523 | CA | Yes |

## Other

- **Enumeration date:** 09/08/2008
- **Last updated:** 10/22/2008