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Search › California › 103TC0700X

Michael Ichinaga, PH.D

NPI 1700035672 · on the registry since 2008 · sole proprietor

Practice

Address
828 S Bascom Ave
San Jose, CA 95128
Phone
(408) 885-5776
Organisation at this address
Kidscope
County Of Santa Clara
County Of Santa Clara
County Of Santa Clara
County Of Santa Clara
Inferred from a shared address, not stated in the registry.
Clinicians at this address
52

Registry record

Primary taxonomy
103TC0700X
103TC0700X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2008-09-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California