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NPI Code Detail

MEDICARE: MAIKO SYLVIA KING

MEDICARE:   MAIKO SYLVIA KING
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 TherapistMFT111211CA

General Provider Information

NPI Number : 1033289186
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAIKO SYLVIA KING
Provider Business Mailing Address
First Line : 22942 EL TORO RD
Second Line :
City : LAKE FOREST
State : CA
Zip : 92630-4961
Country : US
Telephone Number : 714-308-2916
Fax Number :
Provider Business Practice Location Address
First Line : 22942 EL TORO RD
Second Line :
City : LAKE FOREST
State : CA
Zip : 92630-4961
Country : US
Telephone Number : 714-308-2916
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/08/2006
Last Update Date : 02/21/2023

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Directions to “ MAIKO SYLVIA KING ” Practice Location

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