Provider Demographics
NPI:1992843205
Name:PAKOZDI, DAVID HOWARD (PT OCS)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:HOWARD
Last Name:PAKOZDI
Suffix:
Gender:M
Credentials:PT OCS
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1950 SAWTELLE BLVD
Mailing Address - Street 2:SUITE 190
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90025-7014
Mailing Address - Country:US
Mailing Address - Phone:310-312-5678
Mailing Address - Fax:310-231-0336
Practice Address - Street 1:1950 SAWTELLE BLVD
Practice Address - Street 2:SUITE 190
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90025-7014
Practice Address - Country:US
Practice Address - Phone:310-312-5678
Practice Address - Fax:310-231-0336
Is Sole Proprietor?:No
Enumeration Date:2007-02-01
Last Update Date:2011-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT10216225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist