Provider Demographics
NPI:1386708576
Name:TOH, ELAINE (LAC)
Entity type:Individual
Prefix:
First Name:ELAINE
Middle Name:
Last Name:TOH
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1630 OAKDALE AVE # A
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94124-2325
Mailing Address - Country:US
Mailing Address - Phone:415-282-1338
Mailing Address - Fax:415-282-1338
Practice Address - Street 1:1630 OAKDALE AVE # A
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94124-2325
Practice Address - Country:US
Practice Address - Phone:415-282-1338
Practice Address - Fax:415-282-1338
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC 10750171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist