Organization
TM & HANA MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAKAHIRO OTSUKA (PRESIDENT)
(760) 946-5177
Entity
Organization
Contact information
Practice address
12780 HESPERIA RD, VICTORVILLE, CA 92395-5806
(760) 946-5177
(760) 946-5133
Mailing address
12780 HESPERIA RD, VICTORVILLE, CA 92395-5806
(760) 946-5177
(760) 946-5133
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
A055960
CA
Other
Enumeration date
03/15/2007
Last updated
07/06/2010
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