| Kenta Hanataka, | |
|
430 N Lakeview Ave, Anaheim, CA 92807-3029 | |
| (714) 974-1555 | |
| Not Available |
| Full Name | Kenta Hanataka |
|---|---|
| Gender | Male |
| Speciality | Acupuncturist |
| Location | 430 N Lakeview Ave, Anaheim, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932769965 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 171100000X | Acupuncturist | AC18326 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kenta Hanataka, 1303 Barberry Dr, Diamond Bar, CA 91765-2502 Ph: (909) 551-1568 | Kenta Hanataka, 430 N Lakeview Ave, Anaheim, CA 92807-3029 Ph: (714) 974-1555 |
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