Individual
PATRICK HIDEO TAKAHASHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1245 WILSHIRE BLVD, SUITE 680, LOS ANGELES, CA 90017-4810
(213) 620-0822
(213) 620-1384
Mailing address
1245 WILSHIRE BLVD, SUITE 680, LOS ANGELES, CA 90017-4810
(213) 620-0822
(213) 620-1384
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
A054838
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A54838
—
CA
Enumeration date
07/05/2006
Last updated
05/06/2016
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