Individual
HIROMI TAKEKUMA
Active
Individual
HIROMI TAKEKUMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
20A6021
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020A60211
—
CA
01
—
110118234
RR MEDICARE ID NUMBER
—
05
—
GR0064710
—
CA
Enumeration date
08/11/2006
Last updated
07/15/2013
Update your record
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