LAUREN GRACE TAKATA

LOS ANGELES, CA
NPI1467771824
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: CA  PA23185)
Additional Taxonomies363A00000X Physician Assistant
(Licence: NY  012272)
Enumeration Date2010-05-25
Last Update Date2013-11-21
Business Address
-- LAUREN GRACE TAKATA PA
1520 SAN PABLO ST SUITE 2000
LOS ANGELES, CA 90033-5310
Phone number: 323-442-5303
Mailing Address
-- LAUREN GRACE TAKATA PA
1520 SAN PABLO ST SUITE 2000
LOS ANGELES, CA 90033-5310
Phone number: 323-442-5303