Provider Demographics
NPI:1457384448
Name:TOTTORI ALLERGY & ASTHMA ASSOCIATES PC
Entity Type:Organization
Organization Name:TOTTORI ALLERGY & ASTHMA ASSOCIATES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:H
Authorized Official - Last Name:TOTTORI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:702-432-8250
Mailing Address - Street 1:4000 E CHARLESTON BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89104-6683
Mailing Address - Country:US
Mailing Address - Phone:702-432-8250
Mailing Address - Fax:702-734-6677
Practice Address - Street 1:4000 E CHARLESTON BLVD STE 100
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89104-6683
Practice Address - Country:US
Practice Address - Phone:702-432-8250
Practice Address - Fax:702-734-6677
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TOTTORI ALLERGY & ASTHMA ASSOCIATES PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-07-10
Last Update Date:2015-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV6370207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Single Specialty