Organization
KARTIK THAKER M.D. INC.
Active
Organization
KARTIK THAKER M.D. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARTIK THAKER M.D. (PRESIDENT)
(562) 630-2360
Entity
Organization
Contact information
Practice address
3650 SOUTH ST, SUITE 210, LAKEWOOD, CA 90712-1502
(562) 630-2360
(562) 633-0510
Mailing address
PO BOX 3006, CERRITOS, CA 90703-3006
(562) 630-2360
(562) 633-0510
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A45557
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A455570
—
CA
Enumeration date
02/09/2007
Last updated
12/29/2009
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