Provider Demographics
NPI:1407876436
Name:TOGIOKA, THOMAS T (MD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:T
Last Name:TOGIOKA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:390 N PACIFIC COAST HWY STE 1055
Mailing Address - Street 2:
Mailing Address - City:EL SEGUNDO
Mailing Address - State:CA
Mailing Address - Zip Code:90245-4401
Mailing Address - Country:US
Mailing Address - Phone:310-673-3945
Mailing Address - Fax:310-673-0273
Practice Address - Street 1:390 N PACIFIC COAST HWY STE 1055
Practice Address - Street 2:
Practice Address - City:EL SEGUNDO
Practice Address - State:CA
Practice Address - Zip Code:90245-4401
Practice Address - Country:US
Practice Address - Phone:310-673-3945
Practice Address - Fax:310-673-0273
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2022-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG57739207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAGR0057240Medicaid
CAE49245Medicare UPIN
CAGR0057240Medicaid