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Dr. Walter Takeshi Kusumoto, MDMPH
Clinical Cardiac Electrophysiology Physician in Chico, California
NPI 1619935079

Walter Takeshi Kusumoto is a Clinical Cardiac Electrophysiology Physician based in Chico, CA and is specialized in Clinical Cardiac Electrophysiology. Walter Takeshi Kusumoto practices in Chico, CA and has the professional credentials of MDMPH. The NPI Number for Walter Takeshi Kusumoto is 1619935079 and holds a License No. A60788 (California).

The current practice location address for Walter Takeshi Kusumoto is 1645 Esplanade, Chico, CA and can be reached out via phone at 530-893-8806 and via fax at 530-893-8846.

Location: 1645 Esplanade, Chico, CA, 95926-3367
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619935079
Provider Name
Walter Takeshi Kusumoto
Credential
MDMPH
Provider Entity Type
Individual
Gender
Male
Address
1645 Esplanade, Chico, CA, 95926-3367
Phone Number
530-893-8806
Fax Number
530-893-8846
Provider Enumeration Date
05/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
A60788 01 CA MEDICAL BOARD OF CALIFORNIA - CALIFORNIA MEDICAL LICENSE
1619935079 01 NPI
00A607880 01 CA CENTERS FOR MEDICARE & MEDICADE SERVICES (CMS): MEDICARE ID
00A607880 01 CA MEDI-CAL
BK5138169 01 CA DEA
FNP 41401 01 CA MEDICAL BOARD OF CALIFORNIA--FICTICIOUS NAME PERMIT (FNP)
institution
Provider Business Practice Location Address Details
Address
1645 Esplanade
City
Chico
State
California
Zip
95926-3367
Phone Number
530-893-8806
Fax Number
530-893-8846
person
Provider Business Mailing Address Details
Address
1645 Esplanade
City
Chico
State
California
Zip
95926-3367
Phone Number
530-893-8806
Fax Number
530-893-8846
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Clinical Cardiac Electrophysiology
Taxonomy
207RC0001X
License No.
A60788 (California)
Definition
A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Interventional Cardiology
Taxonomy
207RI0011X
License No.
A60788 (California)
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
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