Provider Demographics
NPI:1912094590
Name:TOKCAN - TALEGON, ELIF (MD)
Entity Type:Individual
Prefix:DR
First Name:ELIF
Middle Name:
Last Name:TOKCAN - TALEGON
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 1:365 PEARSON DR
Mailing Address - Street 2:STE 5
Mailing Address - City:PORTERVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:93257-3360
Mailing Address - Country:US
Mailing Address - Phone:559-788-2175
Mailing Address - Fax:559-788-2227
Practice Address - Street 1:99 MONTECILLO RD
Practice Address - Street 2:
Practice Address - City:SAN RAFAEL
Practice Address - State:CA
Practice Address - Zip Code:94903-3308
Practice Address - Country:US
Practice Address - Phone:415-444-4743
Practice Address - Fax:415-444-4633
Is Sole Proprietor?:No
Enumeration Date:2006-10-06
Last Update Date:2021-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA63262207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A632620Medicaid
CA110244407OtherRR
G62168Medicare UPIN
CA110244407OtherRR