Individual
JOELLE TAKAHASHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 WEST ARBOR DRIVE, SAN DIEGO, CA 92103-8770
(619) 543-5297
Mailing address
200 WEST ARBOR DRIVE, MC 8770, SAN DIEGO, CA 92103-8770
(619) 543-5297
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
13408613-1205
UT
207R00000X
Internal Medicine Physician
MDR-7696
HI
Other
Enumeration date
05/17/2019
Last updated
01/30/2024
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