Individual
MISA TANAKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 UCLA MEDICAL PLZ STE 365A, LOS ANGELES, CA 90095-8344
(310) 206-8272
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
(310) 301-8707
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
A197393
CA
Other
Enumeration date
08/15/2016
Last updated
11/06/2024
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