Individual
TAKAKO MITSUHASHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.,PH.D.
Contact information
Practice address
2601 CAMPUS DR, IRVINE, CA 92612-1601
(949) 265-1782
(949) 754-9330
Mailing address
2601 CAMPUS DR, IRVINE, CA 92612-1601
(949) 265-1782
(949) 754-9330
Taxonomy
Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
Primary
A69535
CA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
A69535
CA
Other
Enumeration date
05/03/2007
Last updated
09/11/2025
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