Ken Takesita is a Urology in Riverside, California. Ken Takesita practices all healthcare services and medical treatments related to Urology. The NPI Number for Ken Takesita is 1629243837. The last update date is 2020-09-10.
Ken Takesita's current location address is 4500 Brockton Ave Ste 301, Riverside, California. You can contact this provider via phone number 9512764505. The mailing address for Ken Takesita is 4500 Brockton Ave Ste 301, Riverside, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ken Takesita |
|---|---|
| Address | 4500 Brockton Ave Ste 301, Riverside, California |
| Phone Number | 9512764505 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1629243837 |
|---|---|
| Provider Enumeration Date | 2008-04-29 |
| Last Updated Date | 2020-09-10 |
Provider Mailing Address Detail
| Address | 4500 Brockton Ave Ste 301 |
|---|---|
| City | Riverside |
| State | California (CA) |
| Post Code | 925014027 |
| Phone Number | 9512764505 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Urology |
|---|---|
| Taxonomy | 208800000X |
| Licence No | A84860 |
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Definition: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquir |
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What is the unique identifier code issued to Ken Takesita by the Centers for Medicare & Medicaid Services?
The Ken Takesita has been assigned the NPI (National Provider Identifier) 1629243837. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Ken Takesita's facilities are situated?
The facilities of Ken Takesita are physically located at the following address: 4500 Brockton Ave Ste 301, Riverside, CA, 925014027.
What is the Ken Takesita's specialty and taxonomy code?
The Ken Takesita's specialty is Urology, and the corresponding taxonomy code is 208800000X.
On what date was the 1629243837 assigned to Ken Takesita?
The Ken Takesita was issued its 1629243837 on 2008-04-29, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Ken Takesita, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Ken Takesita, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-09-10.
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