| Carly Akemi Takata, | |
|
5 Hutton Centre Dr Ste 950, Santa Ana, CA 92707-8744 | |
| (855) 434-7763 | |
| Not Available |
| Full Name | Carly Akemi Takata |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 5 Hutton Centre Dr Ste 950, Santa Ana, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013768217 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA64869 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Carly Akemi Takata, 2603 Bayport Dr, Torrance, CA 90503-8923 Ph: () - | Carly Akemi Takata, 5 Hutton Centre Dr Ste 950, Santa Ana, CA 92707-8744 Ph: (855) 434-7763 |
Amanda Aden, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1043 W Civic Center Dr, Santa Ana, CA 92703 Phone: 949-401-2014 Fax: 949-393-6286 | |
Ivonne Landeros, P.A.-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2010 Elite Pain Management, Suite 100, Santa Ana, CA 92705 Phone: 714-556-7246 | |
Angelica Maria Ross, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1226 N Broadway, Santa Ana, CA 92701 Phone: 714-825-0940 | |
Michael Coker, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 902 N Grand Ave Ste 100, Santa Ana, CA 92701 Phone: 714-285-0014 | |
Jennifer Lyn O'herin, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1619 E Edinger Ave, Santa Ana, CA 92705 Phone: 714-542-8904 | |
Alicia Tokunaga, Physician Assistant Medicare: Medicare Enrolled Practice Location: 2621 S Bristol St #203, Santa Ana, CA 92707 Phone: 999-999-9999 |