Individual
DR. ROBERT TADASHI HATANAKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1101 N PACIFIC AVE, STE 104, GLENDALE, CA 91202
(818) 552-5000
(818) 552-2959
Mailing address
1101 N PACIFIC AVE, STE 104, GLENDALE, CA 91202
(818) 552-5000
(818) 552-2959
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E3814
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000E38140
—
CA
Enumeration date
03/03/2006
Last updated
12/17/2010
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