Individual
ALISA TAKEDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
818 WEBSTER ST, OAKLAND, CA 94607-4220
(510) 986-6800
(510) 986-6896
Mailing address
818 WEBSTER ST, OAKLAND, CA 94607-4220
(510) 986-6800
(510) 986-6896
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
20A14368
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2014
Last updated
12/06/2018
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