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Provider Information for 1083960173


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Ms. HIROKO UMEDA GAMINO M.S., MFTI


Sex: Female

NPI: 1083960173
Last Updated: 2012-07-26
Certification Date:

Details

NameValue
NPI1083960173
Enumeration Date2012-07-26
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 22017 HALLDALE AVE
TORRANCE, CA 90501-4038
United States

Phone: 619-867-4601 | Fax:
 
Primary Practice Address 231 E 3RD ST
G106
LOS ANGELES, CA 90013-1494
United States

Phone: 213-473-3030 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Other (non-Medicare)CA67974MFT Intern
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 106H00000X - Marriage & Family Therapist CA67974