MEDICARE: JOSEPH HOUSER MDIV

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP1600X	Pastoral Counselor		CA

General Provider Information

NPI Number	:	1154253748
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSEPH HOUSER MDIV

Provider Business Mailing Address
First Line	:	7767 MARGERUM AVE UNIT 252
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92120-1468
Country	:	US
Telephone Number	:	619-890-9585
Fax Number	:

Provider Business Practice Location Address
First Line	:	7767 MARGERUM AVE UNIT 252
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92120-1468
Country	:	US
Telephone Number	:	619-890-9585
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/30/2026
Last Update Date	:	05/30/2026

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