Takaki, Kazu
Takaki, Kazu is an individual health care provider with primary practice located at 530 S Main St , Orange CA 92868-4525. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Takaki, Kazu can be contacted via phone (714) 480-3000.Contact Information
Primary practice address
530 S Main St
Orange CA 92868-4525
Phone: (714) 480-3000
Fax: (714) 571-3560
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 21769 | California |
Profile Details
| NPI number | 1013057272 |
|---|---|
| LBN Legal business name | Takaki, Kazu |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 7th, 2007 |
| Last updated | Oct 18th, 2013 - about 11 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 | 1013057272 | NPPES |
| California | MEDICAID | D21769 |
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