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Glenn Shigeo Takata, MD
General Practice Physician in Los Angeles, California
NPI 1134225626

Glenn Shigeo Takata is a General Practice Physician based in Los Angeles, CA. Glenn Shigeo Takata practices in Los Angeles, CA and has the professional credentials of MD. The NPI Number for Glenn Shigeo Takata is 1134225626 and holds a License No. G52851 (California).

The current practice location address for Glenn Shigeo Takata is 4650 W Sunset Blvd, Los Angeles, CA and can be reached out via phone at 323-669-2534 and via fax at 323-906-8003.

Location: 4650 W Sunset Blvd, Los Angeles, CA, 90026-1527
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134225626
Provider Name
Glenn Shigeo Takata
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4650 W Sunset Blvd, Los Angeles, CA, 90026-1527
Phone Number
323-669-2534
Fax Number
323-906-8003
Provider Enumeration Date
09/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00G528510 05 CA
institution
Provider Business Practice Location Address Details
Address
4650 W Sunset Blvd
City
Los Angeles
State
California
Zip
90027-6062
Phone Number
323-669-2534
Fax Number
323-906-8003
person
Provider Business Mailing Address Details
Address
4650 W Sunset Blvd
City
Los Angeles
State
California
Zip
90027-6062
Phone Number
323-669-2534
Fax Number
323-906-8003
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
-
Taxonomy
208000000X
License No.
G52851 (California)
Definition
A pediatrician 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.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
G52851 (California)
Definition
Definition to come...
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