Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Lauren Grace Takata, PA

Individual provider Physician Assistant · NPI 1467771824

Lauren Grace Takata, PA is a Physician Assistant in Los Angeles, California. Practices as a sole proprietor. Licensed in California and New York.

Licensed in
CA, NY
In the registry since
2010
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1520 San Pablo St Ste 2000
Los Angeles, CA 90033-5310
Phone: (323) 442-5303
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA23185 (CA)
Physician Assistant Taxonomy 363A00000X · Licence 012272 (NY)

Record details

NPI number1467771824
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedMay 25, 2010
Last updated in NPPESNovember 21, 2013

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