Individual
DR. JOHN GLENN TAKETA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5011 SHORELINE WAY, OXNARD, CA 93035
(805) 760-4662
Mailing address
5011 SHORELINE WAY, OXNARD, CA 93035-2842
(805) 760-4662
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G29937
CA
Other
Enumeration date
09/16/2005
Last updated
09/24/2018
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