MEDICARE: PAUL H TOFFEL M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	G16990	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	953137681	OTHER	CA	PROVIDER TAX ID

General Provider Information

NPI Number	:	1790741064
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAUL H TOFFEL M.D.

Provider Business Mailing Address
First Line	:	1808 VERDUGO BLVD
Second Line	:	SUITE 418
City	:	GLENDALE
State	:	CA
Zip	:	91208-1477
Country	:	US
Telephone Number	:	818-790-3172
Fax Number	:	818-790-3807

Provider Business Practice Location Address
First Line	:	1808 VERDUGO BLVD
Second Line	:	SUITE 418
City	:	GLENDALE
State	:	CA
Zip	:	91208-1477
Country	:	US
Telephone Number	:	818-790-3172
Fax Number	:	818-790-3807

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/25/2006
Last Update Date	:	06/09/2010

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