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
Fax: (818) 587-2493
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902822745 NPPES
California Other P00127601 RAILROAD MEDICARE
California MEDICAID 00AX76430 RAILROAD MEDICARE
California Other 020A76430 RAILROAD MEDICARE

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