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 / Vascular Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Takei, Hidehisa Thomas can be contacted via phone (951) 321-6355.Contact Information
Primary practice address
7117 Brockton Ave
Riverside CA 92506-2615
Phone: (951) 321-6355
Fax: (951) 784-3260
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | G68345 | California |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 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 | Apr 11th, 2025 - about last year |
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 | 1407839327 | NPPES |
| California | Other | ZZZ31887Z | GROUP PTAN |
| California | Other | 1730180415 | GROUP PTAN |
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