Provider Demographics
NPI:1518064526
Name:LOFTON & TONG, LLC
Entity Type:Organization
Organization Name:LOFTON & TONG, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MGR.
Authorized Official - Prefix:MR
Authorized Official - First Name:PHILL
Authorized Official - Middle Name:L
Authorized Official - Last Name:TONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:408-298-7587
Mailing Address - Street 1:2100 FOREST AVE # 112
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95128-1422
Mailing Address - Country:US
Mailing Address - Phone:408-298-7587
Mailing Address - Fax:408-294-7587
Practice Address - Street 1:361 S MONROE ST
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95128-5107
Practice Address - Country:US
Practice Address - Phone:408-298-7587
Practice Address - Fax:408-294-7587
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA2471M1202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2471M1202XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistMagnetic Resonance ImagingGroup - Single Specialty