Individual
JAYSON H TAKATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1329 LUSITANA ST, SUITE 802, HONOLULU, HI 96813-2429
(808) 538-7700
(808) 538-7604
Mailing address
1329 LUSITANA ST, SUITE 802, HONOLULU, HI 96813-2429
(808) 538-7700
(808) 538-7604
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD12376
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
538465
—
HI
Enumeration date
09/07/2006
Last updated
07/09/2007
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