Individual ProviderEd SegawaMarriage & Family TherapistBehavioral Health & Social Service ProvidersPractice Address17451 Bastanchury Rd, Suite 204-27, Yorba Linda, CA 92886-1857(714) 349-5541PECOS EnrollmentBased on the most recent information from CMS, provider Ed Segawa does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1841528064Provider TypeIndividualFull NameSegawa, EdTitleMr.CredentialM.A., LMFTGenderMaleSole ProprietorYesEnumeration Date11/29/2009Last Updated11/29/2009Contact InformationPractice LocationPractice Address17451 Bastanchury Rd, Suite 204-27, Yorba Linda, CA 92886-1857Phone(714) 349-5541FaxUnlisted FaxMailing LocationMailing Address17451 Bastanchury Rd, Suite 204-27, Yorba Linda, CA 92886-1857Phone(714) 349-5541FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicenseMFC 47250California