MEDICARE: MS. ANDREA ELLEN MIKONOWICZ MA 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
1	106H00000X	Marriage & Family Therapist	MFC 52248	CA

General Provider Information

NPI Number	:	1528349370
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ANDREA ELLEN MIKONOWICZ MA LMFT

Provider Business Mailing Address
First Line	:	4237 INGLEWOOD BLVD
Second Line	:	APT 103
City	:	LOS ANGELES
State	:	CA
Zip	:	90066-5870
Country	:	US
Telephone Number	:	310-902-6854
Fax Number	:

Provider Business Practice Location Address
First Line	:	4237 INGLEWOOD BLVD
Second Line	:	APT 103
City	:	LOS ANGELES
State	:	CA
Zip	:	90066-5870
Country	:	US
Telephone Number	:	310-902-6854
Fax Number	:

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

Provider Enumeration Date	:	09/07/2011
Last Update Date	:	08/24/2014

Similar Medicare Providers

1013931518 — SKY DIAGNOSTICS, INC.
Practice Location Address:

1825 N GRAMERCY PL , # 204
LOS ANGELES, CA
90028-5870

Practice Phone: 323-466-5018
Practice Fax:

1457541534 — DR. WILLIAM EUGENE FAULKNER DDS
Practice Location Address:

5870 CRENSHAW BLVD STE 512
LOS ANGELES, CA
90043-2449

Practice Phone: 323-292-0231
Practice Fax: 323-292-0786

1487987806 — I-STATS MED INC
Practice Location Address:

5870 MELROSE AVE , SUITE 3744
LOS ANGELES, CA
90038-3700

Practice Phone: 323-303-1641
Practice Fax:

1457710808 — DR. BARRY CHARLES SMITH MD
Practice Location Address:

10637 WILKINS AVE , UNIT 2
LOS ANGELES, CA
90024-5870

Practice Phone: 310-717-4413
Practice Fax:

1104352590 — JESSICA SCHULMAN EDELSTEIN LMFT, ATR, CDP
Practice Location Address:

5870 MELROSE AVE STE 3-399
LOS ANGELES, CA
90038-3756

Practice Phone: 424-634-1484
Practice Fax:

1033058565 — HELDER ARAUJO MD PHD INC
Practice Location Address:

12035 WASHINGTON PL APT 202
LOS ANGELES, CA
90066-5358

Practice Phone: 310-421-8449
Practice Fax:

Directions to “ MS. ANDREA ELLEN MIKONOWICZ MA LMFT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.