| Hikari Adult & Older Adult Psychological Care Inc. | |
|
1015 Fremont Ave. 2nd Fl #9 South Pasadena CA 91030 | |
| (323) 972-7459 | |
| (888) 636-1331 |
| Full Name | Hikari Adult & Older Adult Psychological Care Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 1015 Fremont Ave., South Pasadena, California |
| Authorized Official Name and Position | Emi Iijima (PRESIDENT/ CEO/ CLINICAL DIRECTOR) |
| Authorized Official Contact | 3239727459 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hikari Adult & Older Adult Psychological Care Inc. 1015 Fremont Ave. 2nd Fl #9 South Pasadena CA 91030 Ph: (323) 972-7459 | Hikari Adult & Older Adult Psychological Care Inc. 1015 Fremont Ave. 2nd Fl #9 South Pasadena CA 91030 Ph: (323) 972-7459 |
| NPI Number | 1023628732 |
|---|---|
| Provider Enumeration Date | 08/06/2020 |
| Last Update Date | 06/30/2021 |
| Certification Date | 06/30/2021 |
| Medicare PECOS PAC ID | 4688091515 |
|---|---|
| Medicare Enrollment ID | O20200824002761 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023628732 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Emi Iijima |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1154551760 PECOS PAC ID: 1456583152 Enrollment ID: I20140411000690 |
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