Individual
ERNEST K TAKAHASHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
400 O ST STE 102, SACRAMENTO, CA 95814-5327
(916) 443-3524
(916) 443-3986
Mailing address
400 O ST STE 102, SACRAMENTO, CA 95814-5327
(916) 443-3524
(916) 443-3986
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5054T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0050540
—
CA
Enumeration date
12/04/2006
Last updated
06/20/2008
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