Takata, Mark Takashi

Takata, Mark Takashi is an sole proprietor health care provider with primary practice located at 455 Avenue Alhambra , El Granada CA 94018. He recently has only one registered license in Other Service Providers / Acupuncturist, which is considered as his primary health care specialty. Takata, Mark Takashi can be contacted via phone (650) 726-5179.

Contact Information

Primary practice address
455 Avenue Alhambra El Granada CA 94018
Phone: (650) 726-5179
Fax: (650) 726-3388
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Acupuncturist 171100000X 4807 California

Profile Details

NPI number 1164740924
LBN Legal business name Takata, Mark Takashi
Credentials M.S. L.,AC
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 4th, 2010
Last updated May 4th, 2010 - about 14 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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