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Individual

DR. CHARLES R. TAKSA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1122 N HARRIS ST, SUITE 104, HANFORD, CA 93230-3785
(559) 582-0141
(559) 582-4829
Mailing address
460 GREENFIELD AVE, SUITE 1, HANFORD, CA 93230-3500
(559) 582-1041
(559) 582-4829

Taxonomy

Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
V8013314
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G363501
CA
01
G363501
STATE LICENSE
CA
Enumeration date
07/01/2006
Last updated
08/15/2008
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