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Jane K. Shintaku

Marriage & Family Therapist

Behavioral Health & Social Service Providers

5152 Katella Ave # 202-D, Los Alamitos, CA 90720-2817

PECOS Enrollment

This provider is enrolled in PECOS as JANE SHINTAKU.

Based on the most recent information from CMS, provider Jane K. Shintaku is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 9:43 AM.

Profile Details

Provider ID
1013450469
Provider Type
Individual
Full Name
Shintaku, Jane K.
Gender
Female

Sole Proprietor
Yes
Enumeration Date
12/1/2016
Last Updated
12/22/2023

Contact Information

Practice Location

5152 Katella Ave # 202-D, Los Alamitos, CA 90720-2817

(714) 309-8793

Unlisted Fax

Mailing Location

PO Box 2114, Cypress, CA 90630-1614

(714) 309-8793

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 106H00000X Primary	Description Marriage & Family Therapist Behavioral Health & Social Service Providers	License 41775 California

Jane K. Shintaku

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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