MEDICARE: AIMEE MIKALINIS

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	LMFT113969	CA

General Provider Information

NPI Number	:	1922493493
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AIMEE MIKALINIS

Provider Business Mailing Address
First Line	:	1041 E YORBA LINDA BLVD STE 202
Second Line	:
City	:	PLACENTIA
State	:	CA
Zip	:	92870-3760
Country	:	US
Telephone Number	:	661-282-1493
Fax Number	:

Provider Business Practice Location Address
First Line	:	1041 E YORBA LINDA BLVD STE 202
Second Line	:
City	:	PLACENTIA
State	:	CA
Zip	:	92870-3760
Country	:	US
Telephone Number	:	661-282-1493
Fax Number	:

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

Provider Enumeration Date	:	04/01/2015
Last Update Date	:	09/26/2023

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