Ms Christine L Takata, is a
Rehabilitation Practitioner based in Pomona, California. Ms Christine L Takata is licensed to practice in * (Not Available) (license number ) and her current practice location is
160 E Holt Ave Ste B, Pomona, California. She can be reached at her office (for appointments etc.) via phone at
(909) 620-2521.
NPI number for Ms Christine L Takata is 1629238712 and her current mailing address is 2825 Tuolumne Pl Unit F, Ontario, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1629238712.
Healthcare Provider's Profile
| Full Name | Ms Christine L Takata |
|---|
| Gender | Female |
|---|
| Speciality | Rehabilitation Practitioner |
|---|
| Location | 160 E Holt Ave Ste B, Pomona, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1629238712
- Provider Enumeration Date: 06/11/2008
- Last Update Date: 06/11/2008
Medical Identifiers
Medical identifiers for Ms Christine L Takata such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1629238712 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | RW1713 (California) | Secondary |
| 225400000X | Rehabilitation Practitioner | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Christine L Takata is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Christine L Takata,
2825 Tuolumne Pl Unit F,
Ontario, CA 91761-0167
Ph: (909) 947-5687 | Ms Christine L Takata,
160 E Holt Ave Ste B,
Pomona, CA 91767-5407
Ph: (909) 620-2521 |
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