Healthcare Provider Details

I. General information

NPI: 1912301953
Provider Name (Legal Business Name): POKITDOK, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/20/2014
Last Update Date: 03/11/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28 E 3RD AVE STE 300
SAN MATEO CA
94401-4011
US

IV. Provider business mailing address

28 E 3RD AVE STE 300
SAN MATEO CA
94401-4011
US

V. Phone/Fax

Practice location:
  • Phone: 650-503-3793
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code247000000X
TaxonomyHealth Information Technician
License Number
License Number State

VIII. Authorized Official

Name: LISA MAKI
Title or Position: CEO
Credential:
Phone: 877-564-5029