Provider Demographics
NPI:1881011278
Name:TOKUHARA, REBECCA ANNE DIXON (CRNA)
Entity Type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:ANNE DIXON
Last Name:TOKUHARA
Suffix:
Gender:F
Credentials:CRNA
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Mailing Address - Street 1:39000 BOB HOPE DR STE W105
Mailing Address - Street 2:
Mailing Address - City:RANCHO MIRAGE
Mailing Address - State:CA
Mailing Address - Zip Code:92270-7033
Mailing Address - Country:US
Mailing Address - Phone:832-287-3387
Mailing Address - Fax:
Practice Address - Street 1:35900 BOB HOPE DR STE 175
Practice Address - Street 2:
Practice Address - City:RANCHO MIRAGE
Practice Address - State:CA
Practice Address - Zip Code:92270-1767
Practice Address - Country:US
Practice Address - Phone:760-340-4700
Practice Address - Fax:760-568-2490
Is Sole Proprietor?:No
Enumeration Date:2014-03-24
Last Update Date:2023-03-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA95000344367500000X, 367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered