Provider Demographics
NPI:1174795496
Name:STOKES, YVONNE LOYRANE (RPT)
Entity type:Individual
Prefix:MS
First Name:YVONNE
Middle Name:LOYRANE
Last Name:STOKES
Suffix:
Gender:F
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3717 S LA BREA AVE
Mailing Address - Street 2:SUITE 206
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90016-5300
Mailing Address - Country:US
Mailing Address - Phone:323-292-9122
Mailing Address - Fax:323-292-1103
Practice Address - Street 1:3717 S LA BREA AVE
Practice Address - Street 2:SUITE 206
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90016-5300
Practice Address - Country:US
Practice Address - Phone:323-292-9122
Practice Address - Fax:323-292-1103
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-26
Last Update Date:2008-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT 7945225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPT 7945Medicare PIN