Individual
MICHELLE MIKI TAKASE-SANCHEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2949 LOMA VISTA RD, OB GYN DEPT, VENTURA, CA 93003-2981
(805) 643-8695
Mailing address
2795 LOMA VISTA RD, VENTURA, CA 93003-1544
(805) 643-8695
(805) 643-2087
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A92628
CA
2088F0040X
Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
A92628
CA
Other
Enumeration date
06/01/2007
Last updated
11/05/2015
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