Healthcare Provider Details

I. General information

NPI: 1609032762
Provider Name (Legal Business Name): ERICA LEE TAKIMOTO D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/29/2008
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 E HAMPDEN AVE STE 210
ENGLEWOOD CO
80113-2737
US

IV. Provider business mailing address

701 E HAMPDEN AVE STE 210
ENGLEWOOD CO
80113-2737
US

V. Phone/Fax

Practice location:
  • Phone: 303-955-7574
  • Fax: 303-781-8710
Mailing address:
  • Phone: 303-955-7574
  • Fax: 303-781-8710

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VX0201X
TaxonomyGynecologic Oncology Physician
License NumberDR.0076094
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberDR.0076094
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: