Individual
MR. AKIRA TOYAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1805 N CALIFORNIA ST, SUITE 101A, STOCKTON, CA 95204-6037
(209) 948-5515
(209) 948-9321
Mailing address
1144 NORMAN DR, SUITE 102, MANTECA, CA 95336-5925
(209) 948-5515
(209) 948-9321
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN 295195
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
NA1388
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ03666Z
GROUP PTAN
CA
Enumeration date
07/13/2006
Last updated
04/02/2008
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