Stacey Mizokawa is a Clinical in Los Angeles, California. Stacey Mizokawa practices all healthcare services and medical treatments related to Clinical. The NPI Number for Stacey Mizokawa is 1477680361. The last update date is 2021-05-21.
Stacey Mizokawa's current location address is 2566 Overland Ave, Los Angeles, California. You can contact this provider via phone number 3108011407 and fax number 3102021471. The mailing address for Stacey Mizokawa is 2566 Overland Ave, Los Angeles, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stacey Mizokawa |
|---|---|
| Address | 2566 Overland Ave, Los Angeles, California |
| Phone Number | 3108011407 |
| Fax Number | 3102021471 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1477680361 |
|---|---|
| Provider Enumeration Date | 2007-02-27 |
| Last Updated Date | 2021-05-21 |
Provider Mailing Address Detail
| Address | 2566 Overland Ave |
|---|---|
| City | Los Angeles |
| State | California (CA) |
| Post Code | 900645600 |
| Phone Number | 3108011407 |
| Fax Number | 3102021471 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY17458 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Post Comment/ Review Below
What is the unique identifier code issued to Stacey Mizokawa by the Centers for Medicare & Medicaid Services (CMS)?
The Stacey Mizokawa has been assigned the NPI (National Provider Identifier) 1477680361. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Stacey Mizokawa is located?
The Stacey Mizokawa is situated at the following address: 2566 Overland Ave, Los Angeles, CA, 900645600.
What is Stacey Mizokawa's area of expertise and its corresponding taxonomy classification?
The Stacey Mizokawa's field of specialization is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1477680361 to Stacey Mizokawa?
The Stacey Mizokawa received its 1477680361 assignment from the Centers for Medicare & Medicaid Services on 2007-02-27.
When was the information regarding Stacey Mizokawa most recently updated?
The details pertaining to the Stacey Mizokawa, including its address, specialty, and other relevant information, were last refreshed on 2021-05-21.