MYRTLE MC INTOSH KALUGIN NPI 1609423268

NPI Information

NPI: 1609423268
Provider Name: MYRTLE MC INTOSH KALUGIN
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
13710 LA MIRADA BLVD
LA MIRADA, CA
ZIP 90638
Phone: (562) 943-0195
Get Directions

Myrtle Mc Intosh Kalugin is a mental health counselor in La Mirada, CA. Myrtle Mc Intosh Kalugin NPI is 1609423268. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

13710 LA MIRADA BLVD
LA MIRADA, CA
ZIP 90638-028
Phone: (562) 943-0195
Fax: (562) 902-2962

The enumeration date for this NPI number is 8/19/2019 and was last updated on 8/19/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	LMFT48824	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	106H00000X	OTHER		WASHINGTON OUBLISHING COMPANY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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