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Era Ko

Social Worker, Clinical in Orange, CA. Individual provider (NPI-1).

NPI number1164060406
StatusActive
Last updated in NPPESAug 8, 2024

Details

NPI
1164060406
Entity type
Individual (NPI-1)
Name
Era Ko
Sex
Female
Sole proprietor
No
Enumeration date
Dec 17, 2019
Certification date
Aug 8, 2024
Last updated
Aug 8, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical113498CAYes

Practice location

501 The City Dr S
Orange, CA 92868-3305

Phone 949-751-9143

Mailing address

14382 Red Hill Ave Apt 10
Tustin, CA 92780-6266

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