Individual
ERNEST TAKANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
REGISTERED NURSE
Contact information
Practice address
5493 STONEVIEW RD, RANCHO CUCAMONGA, CA 91739-8933
(714) 863-9560
Mailing address
5493 STONEVIEW RD, RANCHO CUCAMONGA, CA 91739-8933
(714) 863-9560
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
771398
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95015637
CA
Other
Enumeration date
10/27/2011
Last updated
09/17/2021
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