Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | G51566 | CA |
Y | 208600000X | Surgeon | G51566 | CA |
N | 2086S0102X | Surgical Critical Care | G51566 | CA |
NPI | 1003439746 |
---|---|
Provider Name | Dr. Howard Takiff |
First Address | La Jolla, CA 92038-2095 |
Second Address | La Jolla, CA 92037-6724 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/05/2020 |
Last Update Date | 27/05/2020 |