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NPI Code Detail

MEDICARE: KEIKO ITO HINOKI

MEDICARE:   KEIKO ITO HINOKI
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 TherapistIMF 52311CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1IMF 52311OTHERCAMFT INTERN

General Provider Information

NPI Number : 1942375340
Entity Type Code : Individual
Provider Name (Legal Business Name) : KEIKO ITO HINOKI
Provider Business Mailing Address
First Line : 1460 PINE ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94109-4720
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1460 PINE ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94109-4720
Country : US
Telephone Number : 415-202-0580
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/21/2006
Last Update Date : 07/08/2007

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Directions to “ KEIKO ITO HINOKI ” Practice Location

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