Provider Demographics
NPI:1780909762
Name:POKRAS, NATALIA (DPT)
Entity type:Individual
Prefix:
First Name:NATALIA
Middle Name:
Last Name:POKRAS
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10780 SANTA MONICA BLVD STE 405
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90025-7655
Mailing Address - Country:US
Mailing Address - Phone:310-234-0300
Mailing Address - Fax:310-234-0304
Practice Address - Street 1:2211 CORINTH AVE STE 200
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90064-1621
Practice Address - Country:US
Practice Address - Phone:310-312-3600
Practice Address - Fax:310-248-2328
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-01
Last Update Date:2018-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA334412251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics