Individual
HALEY TAKEKO TSUTSUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9064 VAN NUYS BLVD, PANORAMA CITY, CA 91402-1813
(818) 618-8684
Mailing address
9730 SHOSHONE AVE, NORTHRIDGE, CA 91325-1831
(818) 618-8684
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
60076
CA
Other
Enumeration date
08/10/2021
Last updated
12/15/2021
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