Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0106X | Orthopaedic Hand Surgeon | G13514 | CA |
NPI | 1033264981 |
---|---|
Provider Name | Raymond M. Takahashi |
First Address | Whittier, CA 90602-3169 |
Second Address | Whittier, CA 90602-3169 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/01/2007 |
Last Update Date | 11/06/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A89186 | (02) | CA |
GR0048970 | (05) | CA |