Healthcare Provider Details

I. General information

NPI: 1598965469
Provider Name (Legal Business Name): RALPH Y TANIOKA D.D.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/19/2007
Last Update Date: 04/19/2026
Certification Date: 04/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

637 N EUCLID ST
ANAHEIM CA
92801-4621
US

IV. Provider business mailing address

138 TALMADGE
IRVINE CA
92602-0948
US

V. Phone/Fax

Practice location:
  • Phone: 714-772-2893
  • Fax:
Mailing address:
  • Phone: 714-349-5295
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number26709
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: