Takesita, Ken
Takesita, Ken is an sole proprietor health care provider with primary practice located at 4500 Brockton Ave Ste 301 , Riverside CA 92501-4027. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Takesita, Ken can be contacted via phone (951) 276-4505.Contact Information
Primary practice address
4500 Brockton Ave Ste 301
Riverside CA 92501-4027
Phone: (951) 276-4505
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | A84860 | California |
Profile Details
| NPI number | 1629243837 |
|---|---|
| LBN Legal business name | Takesita, Ken |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 29th, 2008 |
| Last updated | Sep 10th, 2020 - about 4 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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