Individual
MAKI KANEKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, MS, CGC
Contact information
Practice address
4650 W SUNSET BLVD # 173, LOS ANGELES, CA 90027-6062
(323) 644-8581
Mailing address
4650 W SUNSET BLVD # 173, LOS ANGELES, CA 90027-6062
(323) 644-8581
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
GC000883
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GC000883
GENETIC COUNSELING LICENSE
CA
Enumeration date
02/14/2019
Last updated
02/14/2019
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