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NPI Code Detail

MEDICARE: DR. YUMIKO OGAWA

MEDICARE:  DR. YUMIKO  OGAWA
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
1101YP2500XProfessional Counselor20232TX
2390200000XStudent in an Organized Health Care Education/Training Program
3101YM0800XMental Health Counselor37PC 00469600NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
184975LOTHERTXBLUE CROSS OF TX .

General Provider Information

NPI Number : 1144308362
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. YUMIKO OGAWA
Provider Business Mailing Address
First Line : 83 WAYNE ST
Second Line : SUITE 302
City : JERSEY CITY
State : NJ
Zip : 07302-3513
Country : US
Telephone Number : 201-332-5297
Fax Number :
Provider Business Practice Location Address
First Line : 6061 MISSION GORGE RD
Second Line : SUITE 200
City : SAN DIEGO
State : CA
Zip : 92120-4007
Country : US
Telephone Number : 619-281-3706
Fax Number : 619-281-3714
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/02/2006
Last Update Date : 03/12/2015

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Directions to “ DR. YUMIKO OGAWA ” Practice Location

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