Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | 155652 | CA |
NPI | 1003850215 |
---|---|
Provider Name | Vadim Tokhner |
First Address | Torrance, CA 90502-2004 |
Second Address | Torrance, CA 90502-2004 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/06/2006 |
Last Update Date | 18/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A556520 | (05) | CA |