Individual
FORD SCOTT TAKAICHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ABO
Contact information
Practice address
3555 CLARES ST, SUITE H, CAPITOLA, CA 95010-2555
(831) 477-4900
(831) 477-4909
Mailing address
3555 CLARES ST, SUITE H, CAPITOLA, CA 95010-2555
(831) 477-4900
(831) 477-4909
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
183993
CA
Other
Enumeration date
02/25/2013
Last updated
02/25/2013
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