Paul T Ikuta a Professional Corporation

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

G42495 Issued in CA

Legal business name

PAUL T IKUTA A PROFESSIONAL CORPORATION

Practice address

16453 Colorado Ave
Paramount, CA 90723-5011

Phone

(562) 531-3110

NPI assigned

Mar 18, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Paul T Ikuta, M.D.

Title

President

Phone

(562) 331-0759

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1426636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426636800000",
    "number": "1124411954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2757",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928590757",
            "telephone_number": "714-973-2650",
            "fax_number": "714-973-2655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16453 COLORADO AVE",
            "city": "PARAMOUNT",
            "state": "CA",
            "postal_code": "907235011",
            "telephone_number": "562-531-3110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL T IKUTA A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-18",
        "last_updated": "2015-03-18",
        "status": "A",
        "authorized_official_last_name": "IKUTA",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-331-0759",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "G42495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aishani Patel
• Jagruti R. Patel, PHARMACIST
• Jayantilal G Patel, D.D.S
• Shailesh Patel
• Ronan Basillote Patonona, NP-C
• Jose L Perez
• Reyna Dayana Perez
• Valery Marquez Perez
• Arineh Petrosian, BS, PA-C, MPH
• Anh Hong Pham, D.O.

• Anesthesiology Physician in Paramount, CA
• Providers in Paramount, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.