Individual
AILEEN MIYOKO TAKAHASHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
23451 MADISON ST, SUITE 340, TORRANCE, CA 90505-4763
(310) 373-6864
(310) 373-9547
Mailing address
23451 MADISON ST, SUITE 340, TORRANCE, CA 90505-4763
(310) 373-6864
(310) 373-9547
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A63724
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A637240
MEDICAL PPIN #
CA
Enumeration date
07/25/2006
Last updated
07/02/2013
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