MEDICARE: KEILA HIROKAWA

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
1	106H00000X	Marriage & Family Therapist		CA

General Provider Information

NPI Number	:	1508725045
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KEILA HIROKAWA

Provider Business Mailing Address
First Line	:	1575 W 184TH ST
Second Line	:
City	:	GARDENA
State	:	CA
Zip	:	90248-3956
Country	:	US
Telephone Number	:	310-714-8114
Fax Number	:

Provider Business Practice Location Address
First Line	:	3405 VETERAN AVE APT 4
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90034-5341
Country	:	US
Telephone Number	:	209-505-1656
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/20/2026
Last Update Date	:	01/20/2026

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Directions to “ KEILA HIROKAWA ” Practice Location

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