1780909762 NPI number — NATALIA POKRAS DPT

Table of content: NATALIA POKRAS DPT (NPI 1780909762)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1780909762 NPI number — NATALIA POKRAS DPT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
POKRAS
Provider First Name:
NATALIA
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
DPT
Provider Gender Code:
F

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:
1780909762
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/18/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
10780 SANTA MONICA BLVD STE 405
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LOS ANGELES
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
90025-7655
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
310-234-0300
Provider Business Mailing Address Fax Number:
310-234-0304

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2211 CORINTH AVE STE 200
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LOS ANGELES
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90064-1621
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
310-312-3600
Provider Business Practice Location Address Fax Number:
310-248-2328
Provider Enumeration Date:
04/01/2010

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: 2251P0200X , with the licence number:  33441 , 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)