Most Relevant Information
Provider Data
| NPI Number: | 1003417619 |
| Provider Name: | DANNY MICHAEL TAKAOKA |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/02/2020 |
| Last Updated: | 07/05/2023 |
Provider Practice Location
303 S C ST
LOMPOC
CA
934367305
Practice Location Phone/Fax
| Phone: | 8057376653 |
| Fax: |
Provider Mailing Location
401 E CYPRESS AVE
LOMPOC
CA
934366806
Provider Mailing Phone/Fax
| Phone: | 8053155398 |
| Fax: |