Individual
DAVID D. TITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2101 N WATERMAN AVE, SAN BERNARDINO, CA 92404-4836
(909) 883-8711
Mailing address
2100 POWELL ST, SUITE 900, EMERYVILLE, CA 94608-1826
(510) 350-2600
(510) 879-9100
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
G74773
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G747730
—
CA
Enumeration date
08/14/2006
Last updated
11/16/2007
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