Individual
TAKAHIRO SHIOTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
127 S SAN VICENTE BLVD STE A3600, LOS ANGELES, CA 90048-3311
(310) 423-2726
(310) 423-6795
Mailing address
4140 W 190TH ST, TORRANCE, CA 90504-5513
(310) 423-2726
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
35080318
OH
207RC0000X
Cardiovascular Disease Physician
Primary
SFP15
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2291363
—
OH
Enumeration date
09/22/2006
Last updated
10/27/2022
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