MEDICARE: CHINA NICOLE AKTAN

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	163443	CA

General Provider Information

NPI Number	:	1982399978
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHINA NICOLE AKTAN

Provider Business Mailing Address
First Line	:	4300 THE WOODS DR APT 434
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95136-3807
Country	:	US
Telephone Number	:	530-219-1744
Fax Number	:

Provider Business Practice Location Address
First Line	:	4300 THE WOODS DR APT 434
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95136-3807
Country	:	US
Telephone Number	:	530-219-1744
Fax Number	:

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

Provider Enumeration Date	:	04/06/2023
Last Update Date	:	05/19/2026

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Directions to “ CHINA NICOLE AKTAN ” Practice Location

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