SAM SHOTA TAKAHASHI

SAN DIEGO, CA
NPI1053871665
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207L00000X Anesthesiology
(Licence: CA  20A20569)
Enumeration Date2019-03-20
Last Update Date2023-08-10
Business Address
SAM SHOTA TAKAHASHI DO
3626 RUFFIN RD
SAN DIEGO, CA 92123-1810
Phone number: 858-565-9666
Mailing Address
SAM SHOTA TAKAHASHI DO
3626 RUFFIN RD
SAN DIEGO, CA 92123-1810
Phone number: 858-565-9666