person
Dr. Ted Satoshi Tanaka, DPM
Foot Surgery Podiatrist in El Cerrito, California
NPI 1699751495

Ted Satoshi Tanaka is a Foot Surgery Podiatrist based in El Cerrito, CA and is specialized in Foot Surgery. Ted Satoshi Tanaka practices in El Cerrito, CA and has the professional credentials of DPM. The NPI Number for Ted Satoshi Tanaka is 1699751495 and holds a License No. E3450 (California).

The current practice location address for Ted Satoshi Tanaka is 11362 San Pablo Ave, El Cerrito, CA and can be reached out via phone at 510-233-4443 and via fax at 510-233-1337.

Location: 11362 San Pablo Ave, El Cerrito, CA, 94530-2135
person
Provider Profile Details
NPI Number
1699751495
Provider Name
Ted Satoshi Tanaka
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
11362 San Pablo Ave, El Cerrito, CA, 94530-2135
Phone Number
510-233-4443
Fax Number
510-233-1337
Provider Enumeration Date
12/22/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000E34500 01 MEDICARE
institution
Provider Business Practice Location Address Details
Address
11362 San Pablo Ave
City
State
Zip
94530-2135
Phone Number
510-233-4443
Fax Number
510-233-1337
person
Provider Business Mailing Address Details
Address
11362 San Pablo Ave
City
State
Zip
94530-2135
Phone Number
510-233-4443
Fax Number
510-233-1337
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot Surgery
Taxonomy
License No.
E3450 (California)
Definition
Definition to come...
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