CARLY AKEMI TAKATA

SANTA ANA, CA
NPI1013768217
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  PA64869)
Enumeration Date2024-03-27
Last Update Date2025-09-15
Business Address
-- CARLY AKEMI TAKATA
5 HUTTON CENTRE DR STE 950
SANTA ANA, CA 92707-8744
Phone number: 855-434-7763
Mailing Address
-- CARLY AKEMI TAKATA
2603 BAYPORT DR
TORRANCE, CA 90503-8923
Phone number:
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