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1346285962
JAY H TAKATA
WHITTIER, CA
NPI
1346285962
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: CA PA15700)
Enumeration Date
2006-06-18
Last Update Date
2021-12-01
Business Address
-- JAY H TAKATA PA
12401 WASHINGTON BLVD
WHITTIER, CA 90602-1006
Phone number: 562-698-0811
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Mailing Address
-- JAY H TAKATA PA
PO BOX 4419
WOODLAND HILLS, CA 91365-4419
Phone number: 800-506-6895
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