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NPI Code Detail

MEDICARE: MR. ALAN OKAMOTO LMFT

MEDICARE: MR. ALAN OKAMOTO LMFT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist48110CA

General Provider Information

NPI Number : 1225167372
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ALAN OKAMOTO LMFT
Provider Business Mailing Address
First Line : 26137 LA PAZ RD STE 230
Second Line :
City : MISSION VIEJO
State : CA
Zip : 92691-5337
Country : US
Telephone Number : 949-595-8610
Fax Number :
Provider Business Practice Location Address
First Line : 26137 LA PAZ RD STE 230
Second Line :
City : MISSION VIEJO
State : CA
Zip : 92691-5337
Country : US
Telephone Number : 714-608-6499
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/05/2007
Last Update Date : 01/11/2022

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Directions to “ MR. ALAN OKAMOTO LMFT” Practice Location

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