Healthcare Provider Details

I. General information

NPI: 1992119481
Provider Name (Legal Business Name): ALEXANDER TOKAR DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/12/2014
Last Update Date: 11/29/2023
Certification Date: 11/29/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17824 PARTHENIA ST
SHERWOOD FOREST CA
91325-3146
US

IV. Provider business mailing address

17824 PARTHENIA ST
SHERWOOD FOREST CA
91325-3146
US

V. Phone/Fax

Practice location:
  • Phone: 323-899-0283
  • Fax:
Mailing address:
  • Phone: 323-899-0283
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number41314
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: