Basic Information
Provider Information
NPI: 1336534106
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: TROGGIO
FirstName: TOREY
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3751 STOCKER ST
Address2:  
City: VIEW PARK
State: CA
PostalCode: 900085101
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 1000 W CARSON ST # 498
Address2:  
City: TORRANCE
State: CA
PostalCode: 90502
CountryCode: US
TelephoneNumber: 3102221663
FaxNumber:  
Other Information
ProviderEnumerationDate: 03/30/2015
LastUpdateDate: 11/03/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 11/03/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2084P0800XA144731CAY Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
174400000XA144731CAN Other Service ProvidersSpecialist 
390200000X CAN Student, Health CareStudent in an Organized Health Care Education/Training Program 

No ID Information.


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