Thomas Jin Tanaka in Ontario - Podiatrist

Thomas Jin Tanaka - NPI 1770646812

Thomas Jin Tanaka is a Podiatrist in Ontario, California. Thomas Jin Tanaka practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Thomas Jin Tanaka is 1770646812. The last update date is 2021-11-30.

Thomas Jin Tanaka's current location address is 2295 S Vineyard Ave, Ontario, California. You can contact this provider via phone number 9097245052 and fax number 7148320554. The mailing address for Thomas Jin Tanaka is 2295 S Vineyard Ave, Ontario, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Thomas Jin Tanaka
Address 2295 S Vineyard Ave, Ontario, California
Phone Number 9097245052
Fax Number 7148320554
Sole Proprietor N
Credentials DPM

NPI Number Detail

NPI Number 1770646812
Provider Enumeration Date 2006-12-19
Last Updated Date 2021-11-30

Provider Mailing Address Detail

Address 2295 S Vineyard Ave
City Ontario
State California (CA)
Post Code 917617925
Phone Number 9097245052
Fax Number 7148320554

Provider's Primary Taxonomy Detail

Speciality Podiatrist
Taxonomy 213E00000X
Licence No E3648
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
000E36480 CA --

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FAQs about Thomas Jin Tanaka

What is the Thomas Jin Tanaka's unique identification number?

The Thomas Jin Tanaka has been assigned the NPI (National Provider Identifier) Number 1770646812 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete physical address where Thomas Jin Tanaka is located?

The Thomas Jin Tanaka is situated at the following address: 2295 S Vineyard Ave, Ontario, CA, 917617925.

What is the area of specialization for Thomas Jin Tanaka, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Thomas Jin Tanaka is Podiatrist, and the corresponding taxonomy code that categorizes this area of expertise is 213E00000X.

On what date was the 1770646812 assigned to Thomas Jin Tanaka?

The Thomas Jin Tanaka was issued its 1770646812 on 2006-12-19, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Thomas Jin Tanaka last refreshed?

The information related to the Thomas Jin Tanaka, including its address, specialty, and other relevant details, was last updated on 2021-11-30.

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