Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Miki Sadie Fukusumi

Individual provider Speech-Language Pathologist · NPI 1821439381

Miki Sadie Fukusumi is a Speech-Language Pathologist in Hawthorne, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2013
Specialties on file
2

Practice location Address checks out

11840 S La Cienega Blvd
Hawthorne, CA 90250-3459
Phone: (424) 269-3400
Fax: (310) 882-5451
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 621 Acolito Pl, Diamond Bar, CA 91765-1303 — (909) 969-4992

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 26238 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1821439381
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 12, 2013
Last updated in NPPESOctober 17, 2017

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