Provider Demographics
NPI:1174051130
Name:INOUE, TAIGA (MD, MS)
Entity type:Individual
Prefix:DR
First Name:TAIGA
Middle Name:
Last Name:INOUE
Suffix:
Gender:M
Credentials:MD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20960 SAGE LN
Mailing Address - Street 2:
Mailing Address - City:TEHACHAPI
Mailing Address - State:CA
Mailing Address - Zip Code:93561-6408
Mailing Address - Country:US
Mailing Address - Phone:661-823-2273
Mailing Address - Fax:
Practice Address - Street 1:20960 SAGE LN
Practice Address - Street 2:
Practice Address - City:TEHACHAPI
Practice Address - State:CA
Practice Address - Zip Code:93561-6408
Practice Address - Country:US
Practice Address - Phone:661-823-2273
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-02
Last Update Date:2025-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA202856207R00000X
AZ67055207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine