Individual
ANNIE TAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4 HUGHES STE 150, IRVINE, CA 92618-2044
(949) 768-6780
Mailing address
124 MESSENGER, IRVINE, CA 92618-1335
(949) 351-3795
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95011267
CA
Other
Enumeration date
02/28/2019
Last updated
02/16/2021
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