Provider Demographics
NPI:1699900852
Name:PODOLSKY, TONI JO CANTON (MD)
Entity type:Individual
Prefix:
First Name:TONI JO
Middle Name:CANTON
Last Name:PODOLSKY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:TONI JO
Other - Middle Name:
Other - Last Name:CANTON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:317 N EL CAMINO REAL STE 402
Mailing Address - Street 2:
Mailing Address - City:ENCINITAS
Mailing Address - State:CA
Mailing Address - Zip Code:92024-2815
Mailing Address - Country:US
Mailing Address - Phone:619-289-8952
Mailing Address - Fax:888-262-1985
Practice Address - Street 1:317 N EL CAMINO REAL STE 402
Practice Address - Street 2:
Practice Address - City:ENCINITAS
Practice Address - State:CA
Practice Address - Zip Code:92024-2815
Practice Address - Country:US
Practice Address - Phone:619-289-8952
Practice Address - Fax:888-262-1985
Is Sole Proprietor?:No
Enumeration Date:2009-05-18
Last Update Date:2025-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA115639207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine