Provider Demographics
NPI:1558369017
Name:TOVA, YONINA (MD)
Entity Type:Individual
Prefix:DR
First Name:YONINA
Middle Name:
Last Name:TOVA
Suffix:
Gender:F
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:PO BOX 33865
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92163-3865
Mailing Address - Country:US
Mailing Address - Phone:858-888-7700
Mailing Address - Fax:858-888-7721
Practice Address - Street 1:2466 1ST AVE
Practice Address - Street 2:STE B
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92101-1408
Practice Address - Country:US
Practice Address - Phone:619-230-0400
Practice Address - Fax:619-325-3688
Is Sole Proprietor?:No
Enumeration Date:2005-07-08
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG84902174400000X, 2085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G849020Medicaid
CAG84902OtherSTATE LICENSE
CAG84902OtherSTATE LICENSE
CAWG84902HMedicare PIN
CACC514YMedicare PIN
CABT2636934OtherDEA CERTIFICATE
CAWG84902GMedicare PIN
CA00G849020Medicaid
CAWG84902CMedicare PIN
CAWG84902DMedicare PIN
CAWG84902AMedicare PIN
CAWG84902EMedicare PIN