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

Marc Moreno Takegami

Individual provider Physical Therapist · NPI 1184456352

Marc Moreno Takegami is a Physical Therapist in Hawthorne, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2024

Practice location Address checks out

11840 S La Cienega Blvd
Hawthorne, CA 90250-3459
Phone: (424) 269-3400
Fax: (310) 882-5451
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 304495 (CA)

Record details

NPI number1184456352
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 16, 2024
Last updated in NPPESAugust 16, 2024
Certification dateAugust 16, 2024
Mailing address11840 S La Cienega Blvd, Hawthorne, CA 90250-3459

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