Basic Information
| Provider Information | |||||||||
| NPI: | 1992427512 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | TOOR | ||||||||
| FirstName: | HARVINDER | ||||||||
| MiddleName: | S | ||||||||
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| Credential: | PT DPT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 23100 EUCALYPTUS AVE STE C | ||||||||
| Address2: | |||||||||
| City: | MORENO VALLEY | ||||||||
| State: | CA | ||||||||
| PostalCode: | 925535439 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9513791500 | ||||||||
| FaxNumber: | 9513791501 | ||||||||
| Practice Location | |||||||||
| Address1: | 23100 EUCALYPTUS AVE STE C | ||||||||
| Address2: | |||||||||
| City: | MORENO VALLEY | ||||||||
| State: | CA | ||||||||
| PostalCode: | 925535439 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9513791500 | ||||||||
| FaxNumber: | 9513791501 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/12/2022 | ||||||||
| LastUpdateDate: | 10/11/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 10/11/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | 302840 | CA | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.