Shimazaki, Takao
Shimazaki, Takao is an sole proprietor health care provider with primary practice located at 17430 Crenshaw Blvd Suite B, Torrance CA 90504-3400. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Shimazaki, Takao can be contacted via phone (310) 532-8900.Contact Information
Primary practice address
17430 Crenshaw Blvd Suite B
Torrance CA 90504-3400
Phone: (310) 532-8900
Fax: (310) 532-4079
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 4935T | California |
Profile Details
| NPI number | 1215921598 |
|---|---|
| LBN Legal business name | Shimazaki, Takao |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 1st, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215921598 | NPPES |
| California | MEDICAID | 4935 |
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