Provider Demographics
NPI:1487894879
Name:JOFILI, ANA VIRGINIA (MD)
Entity type:Individual
Prefix:
First Name:ANA
Middle Name:VIRGINIA
Last Name:JOFILI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ANA
Other - Middle Name:VIRGINIA
Other - Last Name:KATO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1821 WILSHIRE BLVD STE 501
Mailing Address - Street 2:
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90403
Mailing Address - Country:US
Mailing Address - Phone:310-828-9998
Mailing Address - Fax:310-405-0908
Practice Address - Street 1:1821 WILSHIRE BLVD STE 501
Practice Address - Street 2:
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90403
Practice Address - Country:US
Practice Address - Phone:310-828-9998
Practice Address - Fax:310-405-0908
Is Sole Proprietor?:No
Enumeration Date:2009-02-25
Last Update Date:2021-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA102664208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics