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Kentaro Noguchi, MA

Marriage & Family Therapist in San Diego, CA. Individual provider (NPI-1).

NPI number1043464985
StatusActive
Last updated in NPPESAug 31, 2024

Details

NPI
1043464985
Entity type
Individual (NPI-1)
Name
Kentaro Noguchi
Credential
MA
Sex
Male
Sole proprietor
Yes
Enumeration date
Nov 5, 2008
Certification date
Aug 31, 2024
Last updated
Aug 31, 2024

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106H00000X Marriage & Family Therapist92408CAYes
106H00000X Marriage & Family TherapistIMF84509CA

Practice location

5694 Mission Center Rd Ste 602-892
San Diego, CA 92108-4355

Phone 619-909-7639 · Fax 619-815-4254

Mailing address

5694 Mission Center Rd Ste 602-892
San Diego, CA 92108-4355

Phone 619-909-7639 · Fax 619-297-4496

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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