STACEY MIZOKAWA


Address: 441 S Beverly Dr, Suite 6, Beverly Hills, CA 90212-4427
Phone: 3108011407

STACEY MIZOKAWA (NPI# 1477680361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1477680361
Entity Type Individual
Full Name STACEY MIZOKAWA
Credential PHD
Practice Address 441 S Beverly Dr
Suite 6
Beverly Hills
CA 90212-4427
Mailing Address 10975 Rose Ave Apt 5
Los Angeles
CA 90034-5343
Practice Telephone 3108011407
Mailing Telephone 3108011407
Enumeration Date 2007-02-27
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
PSY17458 CA Behavioral Health & Social Service Providers

Office Location

Street Address 441 S BEVERLY DR
SUITE 6
City BEVERLY HILLS
State CA
Zip Code 90212-4427

Providers in the same location

NPI Name Taxonomy Address Enumeration
1821130410 Michelle Coit Le-chau Psychologist 441 S Beverly Dr, Suite 6, Beverly Hills, CA 90212-4427 2007-02-12
1568849305 Melissa Tsai Acupuncturist 441 S Beverly Dr, Suite 8, Beverly Hills, CA 90212-4427 2015-04-30
1518367275 Teresa Jones Marriage & Family Therapist 441 S Beverly Dr, Suite 2, Beverly Hills, CA 90212-4427 2014-09-01
1649411091 Hiroyuki Terakawa Acupuncturist 441 S Beverly Dr, Suite 9, Beverly Hills, CA 90212-4427 2009-03-16
1538354899 Sharone S Lich Psychologist 441 S Beverly Dr, Suite 2, Beverly Hills, CA 90212-4427 2007-09-10
1598972309 Dina Brown Acupuncturist 441 S Beverly Dr, Suite 9, Beverly Hills, CA 90212-4427 2007-05-17
1336354893 Huabing Wen Acupuncturist 441 S Beverly Dr, Suite 8, Beverly Hills, CA 90212-4427 2007-05-10

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1629535604 Diego Bautista Specialist/Technologist, Other 324 S Beverly Drive #214, Beverely Hills, CA 90212 2019-02-26
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1356818132 Kari Michelle Sacks Social Worker 300 South Beverly Drive, Beverly Hills, CA 90212 2018-10-30
1942782370 Susan Elizabeth Smiley Technician, Other 160 S. Lasky Drive, Beverly Hills, CA 90212 2018-09-01
1417443714 Sharona Asal Mossazadeh Physician Assistant 344 S Rodeo Dr, Beverly Hills, CA 90212 2018-07-10
1760983167 Nina Rebecca Moradi Marriage & Family Therapist 420 S. Beverly Dr., Suite 100-19, Beverly Hills, CA 90212 2018-02-22
1376065946 Rebecca Shelly Agi Lactation Consultant, Non-RN 350 South Reeves Dr., 201, Beverly Hills, CA 90212 2017-07-14
1952853582 Dmarkis Randolph Dietetic Technician, Registered 269 S Beverly Drive, 1038, Beverly Hills, CA 90212 2016-10-31
1023560935 Barrence Baytos Kinesiotherapist 260 S. Beverly Drive, Suite # 210, Beverly Hills, CA 90212 2016-10-26
1467810424 Laura Fischer Registered Nurse 120 S Spalding Dr Ste 301, Beverly Hills, CA 90212 2016-02-05
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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1386266021 Reconnect Relationship, A Professional Psychology Corporation Psychologist 499 N Canon Dr Ste 216, Beverly Hills, CA 90210-4887 2020-05-15
1366073975 Monica S. Wu Psychologist 9454 Wilshire Blvd Ph 1025, Beverly Hills, CA 90212-2937 2020-02-01
1215588983 Dana Tal Jebreel Psychologist 450 N Bedford Dr Ste 204, Beverly Hills, CA 90210-4306 2019-09-24
1427610831 Rebecca Lesser Allen Psychologist 451 N Canon Dr, Beverly Hills, CA 90210-4890 2019-07-05
1760972467 Francisco Javier Iribarren Psychologist 8383 Wilshire Blvd Ste 800, Beverly Hills, CA 90211 2018-05-17
1366931339 Dr. C Shoham Psychological Services Psychologist 9454 Wilshire Blvd Ste 24, Beverly Hills, CA 90212-2931 2018-05-05
1134636764 Catherine Renee Selden Psychologist 433 N Camden Dr Fl 4, Beverly Hills, CA 90210-4408 2018-01-04
1962941450 Blair Wellness Group A Professional Psychological Corp Psychologist 9454 Wilshire Blvd Ph6, Beverly Hills, CA 90212-2937 2017-02-16
1306398342 Jill Model Barth Psychologist 249 S Rodeo Dr, Suite A, Beverly Hills, CA 90212-3803 2016-10-25
1285094508 David E. Kronemyer Psychologist 9812 Gloucester Dr, Beverly Hills, CA 90210-1015 2016-02-29
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Competitor

Search similar providers

City BEVERLY HILLS
Zip Code 90212

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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