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NPI Code Detail

MEDICARE: MRS. AMY KO EARNHART MA

MEDICARE: MRS. AMY KO EARNHART MA
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 TherapistAMFT155881CA

General Provider Information

NPI Number : 1659552602
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. AMY KO EARNHART MA
Provider Business Mailing Address
First Line : 1833 E 17TH ST
Second Line :
City : SANTA ANA
State : CA
Zip : 92705-8629
Country : US
Telephone Number : 714-941-8009
Fax Number :
Provider Business Practice Location Address
First Line : 1833 E 17TH ST
Second Line :
City : SANTA ANA
State : CA
Zip : 92705-8629
Country : US
Telephone Number : 714-941-8009
Fax Number : 714-736-0895
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/19/2007
Last Update Date : 04/15/2026

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Directions to “ MRS. AMY KO EARNHART MA” Practice Location

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