Healthcare Provider Details

I. General information

NPI: 1972319135
Provider Name (Legal Business Name): DAYTON TOMITA DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/03/2024
Last Update Date: 12/03/2024
Certification Date: 12/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 E FOOTHILL BLVD STE 100
ARCADIA CA
91006-2314
US

IV. Provider business mailing address

50 E FOOTHILL BLVD STE 100
ARCADIA CA
91006-2314
US

V. Phone/Fax

Practice location:
  • Phone: 626-445-2400
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number307207
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: