Tokijkla, Yutthana

Tokijkla, Yutthana is an sole proprietor health care provider with primary practice located at 1972 Ginkgo St , San Bernardino CA 92407-2365. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Assistive Technology Supplier, which is considered as his primary health care specialty. Tokijkla, Yutthana can be contacted via phone (909) 289-5874.

Contact Information

Primary practice address
1972 Ginkgo St San Bernardino CA 92407-2365
Phone: (909) 289-5874
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Assistive Technology Supplier 225CA2500X ATP4665 California

Profile Details

NPI number 1205108578
LBN Legal business name Tokijkla, Yutthana
Credentials ATP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 2nd, 2012
Last updated Feb 2nd, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205108578 NPPES
California Other 941158 BUSINESS LICENSE
California Other SR EH 102-178362 BUSINESS LICENSE

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