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NPI Code Detail

MEDICARE: MR. KEITH DAVID ATTARDO M.S. , MFT

MEDICARE: MR. KEITH DAVID ATTARDO M.S. , MFT
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 Therapist44200CA
2101YP2500XProfessional Counselor

General Provider Information

NPI Number : 1003049560
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. KEITH DAVID ATTARDO M.S. , MFT
Provider Business Mailing Address
First Line : 4132 KATELLA AVE STE 104
Second Line :
City : LOS ALAMITOS
State : CA
Zip : 90720-3493
Country : US
Telephone Number : 562-234-4194
Fax Number :
Provider Business Practice Location Address
First Line : 4132 KATELLA AVE STE 104
Second Line :
City : LOS ALAMITOS
State : CA
Zip : 90720-3493
Country : US
Telephone Number : 562-234-4194
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/01/2009
Last Update Date : 09/08/2025

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