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NPI Code Detail

MEDICARE: MRS. MARIKO KAHN MFT

MEDICARE: MRS. MARIKO KAHN MFT
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 TherapistMFC27309CA

General Provider Information

NPI Number : 1679805139
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MARIKO KAHN MFT
Provider Business Mailing Address
First Line : 8616 LA TIJERA BLVD STE 2
Second Line :
City : LOS ANGELES
State : CA
Zip : 90045-3944
Country : US
Telephone Number : 310-337-1550
Fax Number : 310-337-2805
Provider Business Practice Location Address
First Line : 8616 LA TIJERA BLVD STE 200
Second Line :
City : LOS ANGELES
State : CA
Zip : 90045-3945
Country : US
Telephone Number : 310-337-1550
Fax Number : 310-337-2805
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2010
Last Update Date : 02/09/2010

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Directions to “ MRS. MARIKO KAHN MFT” Practice Location

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