Glenn Jun Shintaku in Gardena - Podiatrist
Glenn Jun Shintaku - NPI 1861472409
Glenn Jun Shintaku is a Podiatrist in Gardena, California. Glenn Jun Shintaku practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Glenn Jun Shintaku is 1861472409. The last update date is 2010-02-18.
Glenn Jun Shintaku's current location address is 1212 W Gardena Blvd, Gardena, California. You can contact this provider via phone number 3105382982. The mailing address for Glenn Jun Shintaku is 1212 W Gardena Blvd, Gardena, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Glenn Jun Shintaku |
|---|---|
| Address | 1212 W Gardena Blvd, Gardena, California |
| Phone Number | 3105382982 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DPM |
NPI Number Detail
| NPI Number | 1861472409 |
|---|---|
| Provider Enumeration Date | 2006-01-19 |
| Last Updated Date | 2010-02-18 |
Provider Mailing Address Detail
| Address | 1212 W Gardena Blvd |
|---|---|
| City | Gardena |
| State | California (CA) |
| Post Code | 90247 |
| Phone Number | 3105382982 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | E2649 |
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Definition: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000E26490 | CA | -- |
Post Comment/ Review Below
What is the Glenn Jun Shintaku's 1861472409?
The Glenn Jun Shintaku's NPI (National Provider Identifier) Number is 1861472409. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Glenn Jun Shintaku is geographically located?
The Glenn Jun Shintaku is physically situated at the following location: 1212 W Gardena Blvd, Gardena, CA, 90247.
What is Glenn Jun Shintaku's area of expertise and its corresponding taxonomy classification?
The Glenn Jun Shintaku's field of specialization is Podiatrist, and it falls under the taxonomy code 213E00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Glenn Jun Shintaku receive its 1861472409 assignment from the Centers for Medicare & Medicaid Services?
The Glenn Jun Shintaku was assigned its 1861472409 by the Centers for Medicare & Medicaid Services on 2006-01-19.
As of what date was the information pertaining to Glenn Jun Shintaku, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Glenn Jun Shintaku, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2010-02-18.