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Provider Information for 1437209970

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

DR. ROY TAKASHI YANASE DDS

Gender: MALE

Individual NPI: 1437209970

Calendar   Last Updated:  2007-07-08
  Certification Date: 

Details

Name Value
NPI 1437209970
Enumeration Date 2007-01-10
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 22330 HAWTHORNE BLVD SUITE 316
TORRANCE, CA 90505-2536
United States

Phone: 310-378-4244 | Fax: 310-378-0164
View Map External Link
Primary Practice Address 22330 HAWTHORNE BLVD SUITE 316
TORRANCE, CA 90505-2590
United States

Phone: 310-378-4244 | Fax: 310-378-0164
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 1223P0700X - Dentist Prosthodontics CA 20606