Diane Kimiko Tanaka
MD | Pediatric Adolescent Medicine | Female
Diane Kimiko Tanaka, MD is a Los Angeles, California based Pediatric doctor with medical specialization in
Pediatric Adolescent Medicine.
Current practice location of Diane Kimiko Tanaka is
4650 W Sunset Blvd, Ms# 2, Los Angeles, California - 90027-6062. She can be contacted on phone at
323-669-2153 and fax number 323-913-3691.
Diane Kimiko Tanaka is a sole proprietor of her business.
NPI number (Unique professional ID) for Diane Kimiko Tanaka is
1861588626 which was assigned by NPPES on 05 Oct, 2006 and it was last updated on 15 Aug, 2011.
Diane Kimiko Tanaka license number is
G73061 for Pediatrics Adolescent Medicine (2080A0000X) in California.
Diane Kimiko Tanaka specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Diane Kimiko Tanaka basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Diane Kimiko Tanaka |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Diane Kimiko Tanaka address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 4650 W Sunset Blvd, Ms# 2
Los Angeles, CA, 90027-6062
United States |
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| Phone Number : | 323-669-2153 |
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| Fax Number : | 323-913-3691 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1861588626 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 05 Oct, 2006 |
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| Last Updated On : | 15 Aug, 2011 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Diane Kimiko Tanaka are as mentioned. Primary taxonomy code for Diane Kimiko Tanaka, MD is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080A0000X | Pediatrics Adolescent Medicine | Yes | G73061 | CA |
Legacy Identifiers:
Other legacy medical identifiers of Diane Kimiko Tanaka such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 00G730610 | MEDICAID | CA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 5000 W Sunset Blvd, 4th Floor
Los Angeles, CA, 90027-5861
United States |
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| Phone Number : | 323-669-2337 |
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| Fax Number : | 323-644-8488 |
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Business Location:
Patients can refer following map for directions to
Diane Kimiko Tanaka practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.