Provider Demographics
NPI:1780740746
Name:SUMI, ELLIOT TAKETO (MD)
Entity type:Individual
Prefix:DR
First Name:ELLIOT
Middle Name:TAKETO
Last Name:SUMI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3440 LOMITA BLVD
Mailing Address - Street 2:SUITE 144
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-4801
Mailing Address - Country:US
Mailing Address - Phone:310-326-3396
Mailing Address - Fax:310-326-8466
Practice Address - Street 1:3440 LOMITA BLVD
Practice Address - Street 2:SUITE 144
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-4801
Practice Address - Country:US
Practice Address - Phone:310-326-3396
Practice Address - Fax:310-326-8466
Is Sole Proprietor?:No
Enumeration Date:2006-12-27
Last Update Date:2021-11-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG78014208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics