Taketa, Daniel R
Taketa, Daniel R is an sole proprietor health care provider with primary practice located at 611 E Ocean Ave , Lompoc CA 93436-6914. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Taketa, Daniel R can be contacted via phone (805) 736-7010.Contact Information
Primary practice address
611 E Ocean Ave
Lompoc CA 93436-6914
Phone: (805) 736-7010
Fax: (805) 736-7589
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 7368TPA | California |
Profile Details
| NPI number | 1669583738 |
|---|---|
| LBN Legal business name | Taketa, Daniel R |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Feb 12th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669583738 | NPPES |
| California | MEDICAID | SD0073680 |
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