Provider Demographics
NPI:1013700186
Name:ADAMS, ELIZABETH MIEKO (MM, MT-BC)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:MIEKO
Last Name:ADAMS
Suffix:
Gender:F
Credentials:MM, MT-BC
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:MIEKO
Other - Last Name:OYAMA-ADAMS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MM, MT-BC
Mailing Address - Street 1:3652 MICHELSON DR RM 200
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92612-1727
Mailing Address - Country:US
Mailing Address - Phone:949-591-3875
Mailing Address - Fax:
Practice Address - Street 1:3652 MICHELSON DR RM 200
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92612-1727
Practice Address - Country:US
Practice Address - Phone:949-591-7280
Practice Address - Fax:949-591-7280
Is Sole Proprietor?:No
Enumeration Date:2025-05-22
Last Update Date:2025-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
17249225A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist