Individual
MS. SACHIKO TANABE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
316 E 2ND ST, LOS ANGELES, CA 90012-4222
(213) 680-0355
(213) 680-0830
Mailing address
200 S CATALINA AVE APT 205, REDONDO BEACH, CA 90277-3300
(310) 951-0241
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
22902
CA
208D00000X
General Practice Physician
505502
CA
Other
Enumeration date
04/14/2013
Last updated
04/14/2013
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