Individual
MADISON MIURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CGC
Contact information
Practice address
1188 N EUCLID ST FL 2, ANAHEIM, CA 92801-1900
(714) 254-2704
Mailing address
1188 N EUCLID ST FL 2, ANAHEIM, CA 92801-1900
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
25MJ00082600
NJ
170300000X
Genetic Counselor (M.S.)
Primary
GC001941
CA
Other
Enumeration date
01/16/2025
Last updated
03/20/2026
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