MARIKO TOMI IOCCO
NPI 1104292655
Registered Nurse - Psychiatric/Mental Health, Adult in San Diego, CA
Active since August 19, 2015
About Mariko Tomi Iocco NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARIKO TOMI IOCCO (NPI 1104292655) is an individual psychiatric/mental health, adult provider in San Diego, California, licensed in California (95067188) and active in the NPI registry since August 2015.
NPPES Registry Identity
NPI1104292655
Entity TypeIndividualFemale
Primary Taxonomy163WP0809X
Provider Legal NameMARIKO TOMI IOCCO
Location Address3853 ROSECRANS STSan Diego, CA 92110-3115
Mailing Address3853 Rosecrans StSan Diego, CA 92110-3115 · (619) 692-8232 · Fax (619) 542-4060
Phone(619) 692-8232
Fax(619) 542-4060
Sole ProprietorYes
Enumeration DateAugust 19, 2015
Last NPPES UpdateApril 5, 2017
✔ NPI 1104292655 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 2
★ Primary SpecialtyRegistered Nurse · Psychiatric/Mental Health, AdultNursing Service Providers
Taxonomy Code163WP0809X
License✔ Licensed in CA · 95067188
Also ListedRegistered NurseTaxonomy 163W00000X · License 95067188 (CA)
3853 ROSECRANS ST, San Diego, CA 92110
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Community Based Residential Treatment Facility, Mental Illness
3853 ROSECRANS ST
SAN DIEGO, CA 92110
SAN DIEGO, CA 92110
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104292655, enumerated as an "individual" on August 19, 2015.
The provider is located at 3853 ROSECRANS ST SAN DIEGO, CA 92110 and the phone number is (619) 692-8232.
Registered Nurse with taxonomy code 163WP0809X and a focus in Psychiatric/Mental Health, Adult.