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NPI Code Detail

MEDICARE: YICK CHUN BERNARD TO LMFT

MEDICARE: YICK CHUN BERNARD TO LMFT
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 Therapist136559CA
2101YP2500XProfessional Counselor

General Provider Information

NPI Number : 1356950430
Entity Type Code : Individual
Provider Name (Legal Business Name) : YICK CHUN BERNARD TO LMFT
Provider Business Mailing Address
First Line : 13925 CITY CENTER DR STE 200
Second Line :
City : CHINO HILLS
State : CA
Zip : 91709-5438
Country : US
Telephone Number : 408-520-0428
Fax Number :
Provider Business Practice Location Address
First Line : 13925 CITY CENTER DR STE 200
Second Line :
City : CHINO HILLS
State : CA
Zip : 91709-5438
Country : US
Telephone Number : 408-520-0428
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/24/2020
Last Update Date : 04/21/2026

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Directions to “ YICK CHUN BERNARD TO LMFT” Practice Location

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