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NPI Code Detail

MEDICARE: MS. PAOLINA AMADIO LMFT

MEDICARE: MS. PAOLINA AMADIO 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 TherapistLMFT42559CA

General Provider Information

NPI Number : 1811169717
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. PAOLINA AMADIO LMFT
Provider Business Mailing Address
First Line : 8335 WINNETKA AVE
Second Line : PMB 445
City : WINNETKA
State : CA
Zip : 91306-1630
Country : US
Telephone Number : 310-439-8764
Fax Number : 310-633-7072
Provider Business Practice Location Address
First Line : 1849 SAWTELLE BLVD STE 610
Second Line :
City : LOS ANGELES
State : CA
Zip : 90025-7013
Country : US
Telephone Number : 310-439-8764
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/31/2008
Last Update Date : 10/25/2021

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