MEDICARE: MIDORI SAITO

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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1124351259
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MIDORI SAITO

Provider Business Mailing Address
First Line	:	6160 MISSION GORGE RD STE 120
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92120-3425
Country	:	US
Telephone Number	:	619-282-2232
Fax Number	:	619-282-2292

Provider Business Practice Location Address
First Line	:	6160 MISSION GORGE RD STE 120
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92120-3425
Country	:	US
Telephone Number	:	619-282-2232
Fax Number	:	619-282-2292

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

Provider Enumeration Date	:	09/08/2009
Last Update Date	:	03/02/2011

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Directions to “ MIDORI SAITO ” Practice Location

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