=====================================================
General NPI Number Information
=====================================================
NPI Number | 1609933233
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | FUMIKO HOSOKAWA MFT, PHD.
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/02/2007
-----------------------------------------------------
Last Update Date | 07/08/2007
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 7890 E SPRING ST #22L
-----------------------------------------------------
City | LONG BEACH
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 90815-1636
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 562-598-4701
-----------------------------------------------------
Fax | 562-598-4701
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 7890 E SPRING ST #22L
-----------------------------------------------------
City | LONG BEACH
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 90815-1636
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 562-598-4701
-----------------------------------------------------
Fax | 562-598-4701
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 106H00000X
-----------------------------------------------------
Taxonomy Name | Marriage & Family Therapist
-----------------------------------------------------
License Number | MC20790
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------