| Tm & Hana Medical Corporation | |
|
12780 Hesperia Rd Victorville CA 92395-5806 | |
| (760) 946-5177 | |
| (760) 946-5133 |
| Full Name | Tm & Hana Medical Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 12780 Hesperia Rd, Victorville, California |
| Authorized Official Name and Position | Takahiro Otsuka (PRESIDENT) |
| Authorized Official Contact | 7609465177 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tm & Hana Medical Corporation 12780 Hesperia Rd Victorville CA 92395-5806 Ph: (760) 946-5177 | Tm & Hana Medical Corporation 12780 Hesperia Rd Victorville CA 92395-5806 Ph: (760) 946-5177 |
| NPI Number | 1255465894 |
|---|---|
| Provider Enumeration Date | 03/15/2007 |
| Last Update Date | 07/06/2010 |
| Medicare PECOS PAC ID | 3375640261 |
|---|---|
| Medicare Enrollment ID | O20070530000324 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255465894 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | A055960 (California) | Primary |
| Provider Name | Takahiro Otsuka |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1790895803 PECOS PAC ID: 0749234078 Enrollment ID: I20050309000447 |
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