| Glenn K Takei, MD | |
|
931 Buena Vista St, Ste 505, Duarte, CA 91010-1712 | |
| (626) 357-9931 | |
| (626) 359-0739 |
| Full Name | Glenn K Takei |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery |
| Location | 931 Buena Vista St, Duarte, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568480929 | NPI | - | NPPES |
| 00G350930 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | G35093 (California) | Primary |
| Entity Name | Glenn K Takei Md Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275859548 PECOS PAC ID: 1557498607 Enrollment ID: O20100421000261 |
| Mailing Address | Practice Location Address |
|---|---|
| Glenn K Takei, MD 931 Buena Vista St, Ste 505, Duarte, CA 91010-1727 Ph: (626) 357-9931 | Glenn K Takei, MD 931 Buena Vista St, Ste 505, Duarte, CA 91010-1712 Ph: (626) 357-9931 |
John A. Devries, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1500 Duarte Rd, Duarte, CA 91010 Phone: 626-256-4673 | |
Dr. Alana Mary Munger, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1500 Duarte Rd, Duarte, CA 91010 Phone: 800-826-4673 | |
Morris Baumgarten, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 931 Buena Vista St, Ste 505, Duarte, CA 91010 Phone: 626-357-9931 Fax: 626-359-0739 |