Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | A136494 | CA |
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | A136494 | CA |
NPI | 1366822025 |
---|---|
Provider Name | Yoko Takashima Bean |
First Address | Fullerton, CA 92835-3644 |
Second Address | Los Angeles, CA 90033-1029 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/06/2015 |
Last Update Date | 15/10/2021 |