Provider Demographics
NPI:1083960173
Name:GAMINO, HIROKO UMEDA (MS, MFTI)
Entity Type:Individual
Prefix:MS
First Name:HIROKO
Middle Name:UMEDA
Last Name:GAMINO
Suffix:
Gender:F
Credentials:MS, MFTI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22017 HALLDALE AVE
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90501-4038
Mailing Address - Country:US
Mailing Address - Phone:619-867-4601
Mailing Address - Fax:
Practice Address - Street 1:231 E 3RD ST
Practice Address - Street 2:G106
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90013-1494
Practice Address - Country:US
Practice Address - Phone:213-473-3030
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-26
Last Update Date:2012-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA67974106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA67974OtherMFT INTERN