| Mark H Takemura, MD | |
|
20911 Earl Street, Suite 280, Torrance, CA 90503 | |
| (310) 214-7236 | |
| (310) 542-0334 |
| Full Name | Mark H Takemura |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Gastroenterology |
| Location | 20911 Earl Street, Torrance, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487721189 | NPI | - | NPPES |
| GR0047331 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | G58448 (California) | Primary |
| Entity Name | Providence Medical Institute |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417915760 PECOS PAC ID: 5991609737 Enrollment ID: O20031121000910 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark H Takemura, MD 20911 Earl Street, Suite 280, Torrance, CA 90503 Ph: (310) 214-7236 | Mark H Takemura, MD 20911 Earl Street, Suite 280, Torrance, CA 90503 Ph: (310) 214-7236 |
Dr. Sarah E Tomassetti, M.D. Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 1000 W Carson St # N18, Torrance, CA 90502 Phone: 310-745-2882 | |
Deborah Chon, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 3445 Pacific Coast Hwy Ste 100, Torrance, CA 90505 Phone: 310-542-6333 | |
Erika Joyce Kalash, D.O. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 3565 Del Amo Blvd, Torrance, CA 90503 Phone: 310-214-0811 | |
Dr. Christopher Bryan Mayorga, DO Gastroenterology Medicare: Medicare Enrolled Practice Location: 1000 W Carson St Bldg N28, Torrance, CA 90502 Phone: 424-306-4446 | |
Hosayn Khaleeli, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 2245 Sepulveda Blvd, Torrance, CA 90501 Phone: 310-320-3204 Fax: 310-320-0919 | |
Mr. Anthony C Dike, MD Gastroenterology Medicare: Medicare Enrolled Practice Location: 20280 S Vermont Ave Ste 215, Torrance, CA 90502 Phone: 323-434-4626 Fax: 310-693-8082 | |
Paul J Brown, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 3333 Skypark Dr, Torrance, CA 90505 Phone: 310-517-9006 |