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Contact Information

ROBERT T HATANAKA, DPM
1101 N PACIFIC AVE
STE 104
GLENDALE, CA91202
 Phone: 818-552-5000
 Fax: 818-552-2959
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for ROBERT T HATANAKA · (Male)

NPI Number 1487621801
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 03/03/2006
Last updated 12/17/2010 - About 15 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # E3814
  • CA Medicaid 000E38140
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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