Healthcare Provider Details

I. General information

NPI: 1013700186
Provider Name (Legal Business Name): ELIZABETH MIEKO ADAMS MM, MT-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ELIZABETH MIEKO OYAMA-ADAMS MM, MT-BC

II. Dates (important events)

Enumeration Date: 05/22/2025
Last Update Date: 05/22/2025
Certification Date: 05/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3652 MICHELSON DR RM 200
IRVINE CA
92612-1727
US

IV. Provider business mailing address

3652 MICHELSON DR RM 200
IRVINE CA
92612-1727
US

V. Phone/Fax

Practice location:
  • Phone: 949-591-7280
  • Fax: 949-591-7280
Mailing address:
  • Phone: 949-591-3875
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License Number17249
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: