Individual
SHO TANAKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8700 BEVERLY BLVD, WEST HOLLYWOOD, CA 90048-1804
(310) 248-7369
(310) 423-3522
Mailing address
4140 W 190TH ST, TORRANCE, CA 90504-5513
(310) 967-1780
(866) 991-4287
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
A171692
CA
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
A171692
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2014
Last updated
11/21/2024
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