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NPI Code Detail

MEDICARE: MS. KUNIKO MIYAGI L.C.S.W.

MEDICARE: MS. KUNIKO MIYAGI L.C.S.W.
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
11041C0700XClinical Social WorkerLCS-16015CA

General Provider Information

NPI Number : 1134283393
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KUNIKO MIYAGI L.C.S.W.
Provider Business Mailing Address
First Line : 4510 E PACIFIC COAST HWY STE 600
Second Line :
City : LONG BEACH
State : CA
Zip : 90804-6914
Country : US
Telephone Number : 562-346-1100
Fax Number :
Provider Business Practice Location Address
First Line : 4510 E PACIFIC COAST HWY STE 600
Second Line :
City : LONG BEACH
State : CA
Zip : 90804-6914
Country : US
Telephone Number : 562-346-1100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/21/2006
Last Update Date : 02/20/2014

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Directions to “ MS. KUNIKO MIYAGI L.C.S.W.” Practice Location

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