Individual
CHELSEA TAKAMATSU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
300 PASTEUR DR, PALO ALTO, CA 94305-2200
(650) 721-6680
(539) 265-5945
Mailing address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 721-6680
(539) 265-5945
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
R78078
AZ
207RN0300X
Nephrology Physician
Primary
195259
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
195259
STATE LICENSE
CA
01
—
61172
STATE LICENSE
AZ
Enumeration date
04/28/2020
Last updated
07/15/2024
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