Healthcare Provider Details

I. General information

NPI: 1942171400
Provider Name (Legal Business Name): AVITAL TOFLER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: AVITAL LERER

II. Dates (important events)

Enumeration Date: 09/16/2025
Last Update Date: 09/16/2025
Certification Date: 09/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8835 KEY ST
LOS ANGELES CA
90035-4204
US

IV. Provider business mailing address

8835 KEY ST
LOS ANGELES CA
90035-4204
US

V. Phone/Fax

Practice location:
  • Phone: 310-880-8674
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: