Provider Demographics
NPI:1174377956
Name:DARRYL TORCULAS DDS
Entity type:Organization
Organization Name:DARRYL TORCULAS DDS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DARRYL
Authorized Official - Middle Name:
Authorized Official - Last Name:TORCULAS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:619-274-0224
Mailing Address - Street 1:4990 70TH ST
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92115-1803
Mailing Address - Country:US
Mailing Address - Phone:619-582-5380
Mailing Address - Fax:
Practice Address - Street 1:4990 70TH ST
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92115-1803
Practice Address - Country:US
Practice Address - Phone:619-582-5380
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-16
Last Update Date:2024-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1306930573OtherDR. MARICELA MURRILLO
CA1588018683OtherDR. DARRYL TORCULAS