Otsuka, Takahiro

Otsuka, Takahiro is an individual health care provider with primary practice located at 11370 Anderson St Suite 3400, Loma Linda CA 92354-3450. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Otsuka, Takahiro can be contacted via phone (909) 558-2870.

Contact Information

Primary practice address
11370 Anderson St Suite 3400 Loma Linda CA 92354-3450
Phone: (909) 558-2870
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X A55960 California

Profile Details

NPI number 1790895803
LBN Legal business name Otsuka, Takahiro
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Jul 11th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790895803 NPPES
California MEDICAID 00A559600

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