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NPI Code Detail

MEDICARE: DR. ELLEN MIWAKO SAWAMURA PH.D.

MEDICARE:  DR. ELLEN MIWAKO SAWAMURA  PH.D.
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
1103TC0700XClinical PsychologistPSY 18673CA
21041C0700XClinical Social WorkerLCS 4475CA
3106H00000XMarriage & Family TherapistMFC 14048CA

General Provider Information

NPI Number : 1962584458
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ELLEN MIWAKO SAWAMURA PH.D.
Provider Business Mailing Address
First Line : 720 SACRAMENTO ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94108-2505
Country : US
Telephone Number : 415-392-4453
Fax Number : 415-433-0953
Provider Business Practice Location Address
First Line : 720 SACRAMENTO ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94108-2505
Country : US
Telephone Number : 415-392-4453
Fax Number : 415-433-0953
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/20/2006
Last Update Date : 09/11/2025

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Directions to “ DR. ELLEN MIWAKO SAWAMURA PH.D.” Practice Location

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