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Organization

KATHERINE TAKAKI OD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KATHERINE TAKAKI OD (OPTOMETRIST)
(818) 640-6209
Entity
Organization

Contact information

Practice address
10771 LOS ALAMITOS BLVD, LOS ALAMITOS, CA 90720-2309
(562) 795-6111
Mailing address
16835 ALGONQUIN ST, SUITE 211, HUNTINGTON BEACH, CA 92649-3810
(818) 640-6209

Taxonomy

Speciality
Code
Description
License number
State
152WP0200X
Pediatric Optometrist
Primary
9350T
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1083783435
NPI
Enumeration date
09/22/2015
Last updated
12/10/2015
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