Taketa, Richard

Taketa, Richard is an individual health care provider with primary practice located at 16100 Sand Canyon Ave Suite 100, Irvine CA 92618-3716. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Medicine, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Taketa, Richard can be contacted via phone (949) 417-1100.

Contact Information

Primary practice address
16100 Sand Canyon Ave Suite 100 Irvine CA 92618-3716
Phone: (949) 417-1100
Fax: (949) 417-1165
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nuclear Medicine 207U00000X A23741 California
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X A23741 California

Profile Details

NPI number 1639113269
LBN Legal business name Taketa, Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Jan 9th, 2013 - about 12 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 1639113269 NPPES
California Other 00A237410 BLUE SHIELD
California MEDICAID 00A237410 BLUE SHIELD

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