Individual
DR. JASON TAKEUCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1650 BOREL PL STE 208, SAN MATEO, CA 94402-3508
(650) 348-4900
(650) 375-2621
Mailing address
1650 BOREL PL STE 208, SAN MATEO, CA 94402-3508
(650) 348-4900
(650) 375-2621
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
A55240
CA
Other
Enumeration date
12/12/2006
Last updated
11/25/2025
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