Provider Demographics
NPI:1760267017
Name:DEL TORO GALLEGOS, TERESA
Entity type:Individual
Prefix:
First Name:TERESA
Middle Name:
Last Name:DEL TORO GALLEGOS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1357 OAKLAND BLVD
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94596-4337
Mailing Address - Country:US
Mailing Address - Phone:510-296-3005
Mailing Address - Fax:
Practice Address - Street 1:1357 OAKLAND BLVD
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94596-4337
Practice Address - Country:US
Practice Address - Phone:925-935-3010
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-25
Last Update Date:2025-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant