TAMMY H ICHINOTSUBO EZZI CP

Dr TAMMY H ICHINOTSUBO EZZI CP is a female medical professional, specializing in Psychologist, Clinical. She graduated in 1996.

Contact

29000 S WESTERN AVE
SUITE 203
RANCHO PALOS VERDES
CA
902750890

Tel: 3104279277

TAMMY H ICHINOTSUBO EZZI CP Information

Npi 1770533283
Pac Id 6800806282
Professional Enrollment Id I20060428000621
Last Name ICHINOTSUBO EZZI
First Name TAMMY
Middle Name H
Suffix
Gender F
Credential CP
Medical School Name OTHER
Graduation Year 1996
Primary Specialty PSYCHOLOGIST, CLINICAL
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Secondary Specialty 4
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Line 1 Street Address 29000 S WESTERN AVE
Line 2 Street Address SUITE 203
Marker Of Address Line 2 Suppression
City RANCHO PALOS VERDES
State CA
Zip Code 902750890
Phone Number 3104279277
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
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Hospital Affiliation Lbn 3
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Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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