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Provider Information for 1174854988


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YUKI SUGISAKI


Sex: Female

NPI: 1174854988
Last Updated: 2023-07-03
Certification Date: 2023-07-03

Details

NameValue
NPI1174854988
Enumeration Date2010-01-18
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address PO BOX 642395
LOS ANGELES, CA 90064-2395
United States

Phone: | Fax:
 
Primary Practice Address 8005 S FIGUEROA ST
LOS ANGELES, CA 90003
United States

Phone: 323-568-5412 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 106H00000X - Marriage & Family Therapist CA51383
Yes 104100000X - Social Worker
No 101YA0400X - Counselor - Addiction (Substance Use Disorder)