Megan Christina Ichinose, is a
Psychologist - Clinical based in Los Angeles, California. Megan Christina Ichinose is licensed to practice in California (license number 33408) and her current practice location is
760 Westwood Plz, Los Angeles, California. She can be reached at her office (for appointments etc.) via phone at
(310) 825-2836.
NPI number for Megan Christina Ichinose is 1629529466 and her current mailing address is 5767 W Century Blvd Ste 400, Los Angeles, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1629529466.
Healthcare Provider's Profile
| Full Name | Megan Christina Ichinose |
|---|
| Gender | Female |
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| Speciality | Psychologist - Clinical |
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| Location | 760 Westwood Plz, Los Angeles, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1629529466
- Provider Enumeration Date: 10/17/2016
- Last Update Date: 05/02/2024
Medical Identifiers
Medical identifiers for Megan Christina Ichinose such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1629529466 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | 33408 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Megan Christina Ichinose is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Megan Christina Ichinose,
5767 W Century Blvd Ste 400,
Los Angeles, CA 90045-5631
Ph: (310) 301-8732 | Megan Christina Ichinose,
760 Westwood Plz,
Los Angeles, CA 90024-5055
Ph: (310) 825-2836 |
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