JAY H TAKATA

WHITTIER, CA
NPI1346285962
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: CA  PA15700)
Enumeration Date2006-06-18
Last Update Date2021-12-01
Business Address
-- JAY H TAKATA PA
12401 WASHINGTON BLVD
WHITTIER, CA 90602-1006
Phone number: 562-698-0811
Mailing Address
-- JAY H TAKATA PA
PO BOX 4419
WOODLAND HILLS, CA 91365-4419
Phone number: 800-506-6895