Individual
KEVIN TAKAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
6759 SIERRA CT, SUITE A, DUBLIN, CA 94568-2670
(925) 803-0530
(925) 803-2047
Mailing address
6759 SIERRA CT, SUITE A, DUBLIN, CA 94568-2670
(925) 803-0530
(925) 803-2047
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
32822
CA
Other
Enumeration date
10/18/2006
Last updated
08/24/2016
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