Takei, Hidehisa Thomas

Takei, Hidehisa Thomas is an individual health care provider with primary practice located at 7117 Brockton Ave , Riverside CA 92506-2615. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Takei, Hidehisa Thomas can be contacted via phone (951) 782-3651.

Contact Information

Primary practice address
7117 Brockton Ave Riverside CA 92506-2615
Phone: (951) 782-3651
Fax: (951) 784-3260
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X G68345 California
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X G68345 California

Profile Details

NPI number 1407839327
LBN Legal business name Takei, Hidehisa Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 23rd, 2005
Last updated May 10th, 2012 - about 14 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 1407839327 NPPES
California Other 1730180415 GROUP NPI
California Other ZZZ31887Z GROUP NPI

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