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NPI Code Detail

MEDICARE: STACY W. NAKAMURA

MEDICARE: STACY W. NAKAMURA
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 WorkerLCSW68922CA

General Provider Information

NPI Number : 1346428224
Entity Type Code : Individual
Provider Name (Legal Business Name) : STACY W. NAKAMURA
Provider Business Mailing Address
First Line : 14330 CULVER DR
Second Line :
City : IRVINE
State : CA
Zip : 92604-0303
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 14330 CULVER DR
Second Line :
City : IRVINE
State : CA
Zip : 92604-0303
Country : US
Telephone Number : 949-559-8129
Fax Number : 949-559-0123
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/04/2008
Last Update Date : 03/27/2026

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Directions to “ STACY W. NAKAMURA ” Practice Location

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