Healthcare Provider Details

I. General information

NPI: 1174051130
Provider Name (Legal Business Name): TAIGA INOUE MD, MS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/02/2017
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20960 SAGE LN
TEHACHAPI CA
93561-6408
US

IV. Provider business mailing address

20960 SAGE LN
TEHACHAPI CA
93561-6408
US

V. Phone/Fax

Practice location:
  • Phone: 661-823-2273
  • Fax:
Mailing address:
  • Phone: 661-823-2273
  • Fax: 661-823-2277

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA202856
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: