Organization
IBODY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERTO TOSTADO M.D. (OWNER/CEO)
(626) 628-6095
Entity
Organization
Contact information
Practice address
956 HUNTINGTON DR, SAN MARINO, CA 91108-1825
(626) 628-6095
Mailing address
956 HUNTINGTON DR, SAN MARINO, CA 91108-1825
(626) 628-6095
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
102111616
CA
Other
Enumeration date
04/24/2013
Last updated
04/24/2013
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