MEDICARE: AKIKO TAKAHASHI

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
1	225700000X	Massage Therapist	7872	CA

General Provider Information

NPI Number	:	1134706443
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AKIKO TAKAHASHI

Provider Business Mailing Address
First Line	:	1224 S GRAMERCY PL
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90019-3637
Country	:	US
Telephone Number	:	818-588-0484
Fax Number	:

Provider Business Practice Location Address
First Line	:	1224 S GRAMERCY PL
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90019-3637
Country	:	US
Telephone Number	:	818-588-0484
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/24/2021
Last Update Date	:	03/24/2021

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Directions to “ AKIKO TAKAHASHI ” Practice Location

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