Takeshita, Tasha

Takeshita, Tasha is an sole proprietor health care provider with primary practice located at 520 Superior Ave Ste 190 , Newport Beach CA 92663-3642. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Takeshita, Tasha can be contacted via phone (949) 548-0352.

Contact Information

Primary practice address
520 Superior Ave Ste 190 Newport Beach CA 92663-3642
Phone: (949) 548-0352
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X AU3672 California

Profile Details

NPI number 1386304178
LBN Legal business name Takeshita, Tasha
Credentials AU.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 21st, 2021
Last updated Nov 22nd, 2022 - about 3 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 1386304178 NPPES
California Other AU3672 AUDIOLOGY LICENSE

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