Provider Demographics
NPI:1417403676
Name:TOKUNAGA, JANA (DPT)
Entity Type:Individual
Prefix:
First Name:JANA
Middle Name:
Last Name:TOKUNAGA
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1601 KETTNER BLVD
Mailing Address - Street 2:UNIT 11
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92101-2539
Mailing Address - Country:US
Mailing Address - Phone:619-544-1055
Mailing Address - Fax:619-544-1056
Practice Address - Street 1:690 OTAY LAKES RD
Practice Address - Street 2:#200
Practice Address - City:CHULA VISTA
Practice Address - State:CA
Practice Address - Zip Code:91910-8904
Practice Address - Country:US
Practice Address - Phone:619-475-6910
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-28
Last Update Date:2022-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT2917102251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic