| Taiji Kawazu, M.d. | |
|
130 Independence Cir Ste 5 Chico CA 95973-4918 | |
| (530) 343-0285 | |
| (530) 343-3259 |
| Full Name | Taiji Kawazu, M.d. |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 130 Independence Cir Ste 5, Chico, California |
| Authorized Official Name and Position | Taiji Kawazu (DIRECTOR, M.D.) |
| Authorized Official Contact | 5303430285 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Taiji Kawazu, M.d. 130 Independence Cir Ste 5 Chico CA 95973-4918 Ph: (530) 343-0285 | Taiji Kawazu, M.d. 130 Independence Cir Ste 5 Chico CA 95973-4918 Ph: (530) 343-0285 |
| NPI Number | 1780777284 |
|---|---|
| Provider Enumeration Date | 10/02/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780777284 | NPI | - | NPPES |
| A26027 | Other | CA | STATE ID NO. |
| 00A260270 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | A26027 (California) | Primary |
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