Edwin Kazuo Kikuchi MSW

NPI 1023049673 - Social Worker - 1041C0700X

NPI Details
NPI 1023049673
Gender Male
Enumeration Date 07/05/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
29099HOSPITAL ROAD
SUITE 209
LAKE ARROWHEAD CA, 92352, US
Phone (909) 337-8219
Fax (909) 337-8920
Business Location
PO BOX 33
RUNNING SPRINGS CA, 92382-0033, US
Phone (909) 867-2122
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State California
License Number LCS4695
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According to our database, Edwin Kazuo Kikuchi MSW NPI is 1023049673, taxonomy code is 1041C0700X and license number is LCS4695, license state is located at California. Edwin Kazuo Kikuchi MSW physically located at 29099hospital Road, Lake Arrowhead CA, 92352. NPI Number Edwin Kazuo Kikuchi MSW has the Individual type.

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1023049673 NPI number is provided on an as is basis without warranty of any kind. 1023049673 is maintained by the National Plan & Provider Enumeration System. The contents of Edwin Kazuo Kikuchi MSW are for informational purposes only.