Provider Demographics
NPI:1477869493
Name:TAKO, IGAL MEIR (DC,CCSP)
Entity Type:Individual
Prefix:DR
First Name:IGAL
Middle Name:MEIR
Last Name:TAKO
Suffix:
Gender:M
Credentials:DC,CCSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1633 HOLLENBECK AVE
Mailing Address - Street 2:
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94087-5402
Mailing Address - Country:US
Mailing Address - Phone:408-733-2223
Mailing Address - Fax:408-733-2243
Practice Address - Street 1:1633 HOLLENBECK AVE
Practice Address - Street 2:
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94087-5402
Practice Address - Country:US
Practice Address - Phone:408-733-2223
Practice Address - Fax:408-733-2243
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-27
Last Update Date:2013-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA25994111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor