Healthcare Provider Details

I. General information

NPI: 1780724450
Provider Name (Legal Business Name): RINA TOKER ROJANY LAC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/08/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4070 LAUREL CANYON BLVD
STUDIO CITY CA
91604
US

IV. Provider business mailing address

3380 WRIGHTWOOD DRIVE
STUDIO CITY CA
91604
US

V. Phone/Fax

Practice location:
  • Phone: 818-487-7100
  • Fax: 323-654-9923
Mailing address:
  • Phone: 323-654-9988
  • Fax: 323-654-9923

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberLAC7132
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: