Individual
MARK H TAKEMURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20911 EARL STREET, SUITE 280, TORRANCE, CA 90503
(310) 214-7236
(310) 542-0334
Mailing address
20911 EARL STREET, SUITE 280, TORRANCE, CA 90503
(310) 214-7236
(310) 542-0334
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
G58448
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0047331
—
CA
Enumeration date
11/29/2006
Last updated
04/20/2021
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