Provider Demographics
NPI:1447357330
Name:DYNER, TOBY SARAH (MD)
Entity type:Individual
Prefix:DR
First Name:TOBY
Middle Name:SARAH
Last Name:DYNER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 CASTRO ST STE 324
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94114-1029
Mailing Address - Country:US
Mailing Address - Phone:415-621-4188
Mailing Address - Fax:415-621-4096
Practice Address - Street 1:45 CASTRO ST STE 324
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94114-1029
Practice Address - Country:US
Practice Address - Phone:415-621-4188
Practice Address - Fax:415-621-4096
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG51900207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAE25198Medicare UPIN
CA00G519000Medicare ID - Type Unspecified