Provider Demographics
NPI:1164991840
Name:BOKIL, SHILPA ATISH
Entity Type:Individual
Prefix:
First Name:SHILPA
Middle Name:ATISH
Last Name:BOKIL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5020 W 190TH ST
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90503-5607
Mailing Address - Country:US
Mailing Address - Phone:310-370-5607
Mailing Address - Fax:310-370-8083
Practice Address - Street 1:5020 W 190TH ST
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90503-1004
Practice Address - Country:US
Practice Address - Phone:310-370-5607
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-25
Last Update Date:2020-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA60764183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist