Provider Demographics
NPI:1790585545
Name:TOCTOCAN, ROWENA JULIAN
Entity type:Individual
Prefix:
First Name:ROWENA
Middle Name:JULIAN
Last Name:TOCTOCAN
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3994 VIA DE LA BANDOLA
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92173-1520
Mailing Address - Country:US
Mailing Address - Phone:619-252-8386
Mailing Address - Fax:
Practice Address - Street 1:3994 VIA DE LA BANDOLA
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92173-1520
Practice Address - Country:US
Practice Address - Phone:619-252-8386
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-19
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA280642251G0304X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatrics