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NPI Code Detail

MEDICARE: DR. KATHERINE K TAKAKI O.D.

MEDICARE: DR. KATHERINE K TAKAKI O.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist9350CA
2152WP0200XPediatric Optometrist9350TCA

General Provider Information

NPI Number : 1083783435
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KATHERINE K TAKAKI O.D.
Provider Business Mailing Address
First Line : 16835 ALGONQUIN ST
Second Line : SUITE 211
City : HUNTINGTON BEACH
State : CA
Zip : 92649-3810
Country : US
Telephone Number : 818-640-6209
Fax Number :
Provider Business Practice Location Address
First Line : 5460 E LA PALMA AVE
Second Line :
City : ANAHEIM
State : CA
Zip : 92807-2023
Country : US
Telephone Number : 714-463-7500
Fax Number : 714-992-7850
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/07/2006
Last Update Date : 02/12/2026

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