Individual
KENT TAKEMOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4133 REDWOOD AVE UNIT 1023, LOS ANGELES, CA 90066-5630
(813) 965-1859
Mailing address
4133 REDWOOD AVE UNIT 1023, LOS ANGELES, CA 90066-5630
(813) 965-1859
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
G69163
CA
Other
Enumeration date
09/11/2016
Last updated
09/11/2016
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