Glenn Shigeo Takata
MD | Pediatrics | Male
Glenn Shigeo Takata, MD is a Los Angeles, California based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Glenn Shigeo Takata is
4650 W Sunset Blvd, Los Angeles, California - 90027-6062. He can be contacted on phone at
323-669-2534 and fax number 323-906-8003.
Glenn Shigeo Takata is a sole proprietor of his business.
NPI number (Unique professional ID) for Glenn Shigeo Takata is
1134225626 which was assigned by NPPES on 15 Sep, 2006 and it was last updated on 01 Feb, 2017.
Glenn Shigeo Takata license number is
G52851 for Pediatrics (208000000X) in California.
Glenn Shigeo Takata is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Glenn Shigeo Takata basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Glenn Shigeo Takata |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Glenn Shigeo Takata 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
Los Angeles, CA, 90027-6062
United States |
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| Phone Number : | 323-669-2534 |
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| Fax Number : | 323-906-8003 |
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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 : | 1134225626 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 15 Sep, 2006 |
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| Last Updated On : | 01 Feb, 2017 |
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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 Glenn Shigeo Takata are as mentioned. Primary taxonomy code for Glenn Shigeo Takata, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | G52851 | CA |
| 208D00000X | General Practice | No | G52851 | CA |
Legacy Identifiers:
Other legacy medical identifiers of Glenn Shigeo Takata such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 00G528510 | 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 : | 3701 W Sunset Blvd, Suite 600
Los Angeles, CA, 90026-1527
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
Glenn Shigeo Takata practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.