| Kenneth M Tokita Md Inc | |
|
16100 Sand Canyon Ave Ste 130 Irvine CA 92618-3722 | |
| (949) 417-1100 | |
| (949) 417-1165 |
| Full Name | Kenneth M Tokita Md Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 16100 Sand Canyon Ave, Irvine, California |
| Authorized Official Name and Position | Kenneth Masao Tokita (MEDICAL DIRECTOR) |
| Authorized Official Contact | 9494171100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth M Tokita Md Inc 16100 Sand Canyon Ave Ste 130 Irvine CA 92618-3722 Ph: (949) 417-1100 | Kenneth M Tokita Md Inc 16100 Sand Canyon Ave Ste 130 Irvine CA 92618-3722 Ph: (949) 417-1100 |
| NPI Number | 1386693224 |
|---|---|
| Provider Enumeration Date | 05/09/2006 |
| Last Update Date | 08/01/2022 |
| Medicare PECOS PAC ID | 0941389910 |
|---|---|
| Medicare Enrollment ID | O20080501000330 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386693224 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | G18258 (California) | Primary |
| Provider Name | Kenneth M Tokita |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447432653 PECOS PAC ID: 1759460728 Enrollment ID: I20110627000757 |
| Provider Name | John Ravera |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1558347674 PECOS PAC ID: 2668623893 Enrollment ID: I20121115000247 |
| Provider Name | Jennifer Elbel Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922613702 PECOS PAC ID: 9234539990 Enrollment ID: I20210617000334 |
| Provider Name | Andrew Zhang |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1821417627 PECOS PAC ID: 2567796543 Enrollment ID: I20210914000925 |
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