Provider Demographics
NPI:1063728434
Name:PAUL H. TOFFEL M.D. INC.
Entity type:Organization
Organization Name:PAUL H. TOFFEL M.D. INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ERICA
Authorized Official - Middle Name:
Authorized Official - Last Name:PHAIL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-790-3172
Mailing Address - Street 1:1808 VERDUGO BLVD STE 418
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91208-1491
Mailing Address - Country:US
Mailing Address - Phone:818-790-3172
Mailing Address - Fax:818-790-3807
Practice Address - Street 1:1808 VERDUGO BLVD STE 418
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91208-1491
Practice Address - Country:US
Practice Address - Phone:818-790-3172
Practice Address - Fax:818-790-3807
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-24
Last Update Date:2010-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG16990207YX0905X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207YX0905XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngology/Facial Plastic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG16990AMedicare PIN