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Mariko Iwabuchi, Ph.D.

Psychologist in North Hollywood, CA. Individual provider (NPI-1).

NPI number1477072718
StatusActive
Last updated in NPPESJan 17, 2022

Details

NPI
1477072718
Entity type
Individual (NPI-1)
Name
Mariko Iwabuchi
Credential
Ph.D.
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 19, 2017
Certification date
Jan 17, 2022
Last updated
Jan 17, 2022

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
103T00000X Psychologist––Yes

Practice location

4605 Lankershim Blvd Ste 545
North Hollywood, CA 91602-1818

Phone 323-999-1395

Mailing address

14900 Magnolia Blvd # 5505
Sherman Oaks, CA 91413-7001

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.

Other Psychologist providers in North Hollywood, CA

All 13 Psychologist providers in North Hollywood · All 3,297 providers in North Hollywood

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