1205899812 NPI number — MR. JASON CHAD TONLEY DPT

Table of content: MR. JASON CHAD TONLEY DPT (NPI 1205899812)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1205899812 NPI number — MR. JASON CHAD TONLEY DPT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
TONLEY
Provider First Name:
JASON
Provider Middle Name:
CHAD
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
DPT
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1205899812
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/06/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6041 CADILLAC AVE
Provider Second Line Business Mailing Address:
DEPARTMENT OF PHYSICAL THERAPY
Provider Business Mailing Address City Name:
LOS ANGELES
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
90034-1702
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
310-739-7606
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6041 CADILLAC AVE
Provider Second Line Business Practice Location Address:
DEPARTMENT OF PHYSICAL THERAPY
Provider Business Practice Location Address City Name:
LOS ANGELES
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90034-1702
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
323-857-2458
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/07/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 225100000X , with the licence number:  PT26559 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)