Individual
DR. AUSTIN TAKEO MOMII
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8700 BEVERLY BLVD STE 5512, WEST HOLLYWOOD, CA 90048-1804
(310) 773-7632
Mailing address
8700 BEVERLY BLVD STE 5512, WEST HOLLYWOOD, CA 90048-1804
Taxonomy
Speciality
Code
Description
License number
State
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
A166061
CA
2084N0400X
Neurology Physician
036-163326
IL
2084N0400X
Neurology Physician
A166061
CA
2084N0400X
Neurology Physician
Primary
DR.0068411
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/15/2018
Last updated
03/28/2024
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