Provider Demographics
NPI:1679613863
Name:TOH, IRENE KAH-MEE (MD)
Entity Type:Individual
Prefix:
First Name:IRENE
Middle Name:KAH-MEE
Last Name:TOH
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 1:2231 MANNING AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90064-2001
Mailing Address - Country:US
Mailing Address - Phone:310-470-7845
Mailing Address - Fax:
Practice Address - Street 1:8635 W 3RD ST STE 1195W
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90048-6146
Practice Address - Country:US
Practice Address - Phone:310-423-8661
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-07
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA92955207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CABT8147882OtherDEA