Ikuta, Pamela K
Ikuta, Pamela K is an individual health care provider with primary practice located at 2175 Rosaline Ave , Redding CA 96001-2509. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is her primary health care specialty. Ikuta, Pamela K can be contacted via phone (530) 225-6000.Contact Information
Primary practice address
2175 Rosaline Ave
Redding CA 96001-2509
Phone: (530) 225-6000
Fax: (818) 587-2493
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 20A7643 | California |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 020A7643 | California |
Profile Details
| NPI number | 1902822745 |
|---|---|
| LBN Legal business name | Ikuta, Pamela K |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 14th, 2006 |
| Last updated | Sep 27th, 2016 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902822745 | NPPES |
| California | Other | P00127601 | RAILROAD MEDICARE |
| California | MEDICAID | 00AX76430 | RAILROAD MEDICARE |
| California | Other | 020A76430 | RAILROAD MEDICARE |
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