Organization
DR. NORMAN TAKEDA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NORMAN TAKEDA (OWNER)
(916) 393-7200
Entity
Organization
Contact information
Practice address
1325 FLORIN RD, SACRAMENTO, CA 95831-3618
(916) 393-7200
Mailing address
1325 FLORIN RD, SACRAMENTO, CA 95831-3618
(916) 393-7200
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6817T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GSD004550
—
CA
Enumeration date
12/20/2007
Last updated
02/24/2011
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