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Search › California › 175F00000X

Kanoko Tanaka, NMD

NPI 1396618393 · on the registry since 2025 · sole proprietor

Practice

Address
629 Camino De Los Mares Ste 101
San Clemente, CA 92673
Phone
(949) 866-1356
Fax
(949) 850-3500
Organisation at this address
David Ahrens
Bryan L. Berghout
Tim Roham D.O. Inc
Bryan L. Berghout, Dpm Pc
Russell Thompson Chiropractic Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
14

Registry record

Primary taxonomy
175F00000X
175F00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-08-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California