Takeyama, Trevor

Takeyama, Trevor is an individual health care provider with primary practice located at 3801 Miranda Ave , Palo Alto CA 94304-1207. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Takeyama, Trevor can be contacted via phone (818) 314-1807.

Contact Information

Primary practice address
3801 Miranda Ave Palo Alto CA 94304-1207
Phone: (818) 314-1807
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X EL6910 California
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X E5828 California

Profile Details

NPI number 1780253450
LBN Legal business name Takeyama, Trevor
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2021
Last updated Apr 15th, 2022 - about 2 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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