MEDICARE: DR. JOSEPH STEPHEN DUBROFF ND

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	175F00000X	Naturopath	ND-258	CA

General Provider Information

NPI Number	:	1215111281
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSEPH STEPHEN DUBROFF ND

Provider Business Mailing Address
First Line	:	12301 WILSHIRE BLVD STE 201
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90025-1000
Country	:	US
Telephone Number	:	310-442-0922
Fax Number	:

Provider Business Practice Location Address
First Line	:	12301 WILSHIRE BLVD STE 201
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90025-1000
Country	:	US
Telephone Number	:	310-442-0922
Fax Number	:

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

Provider Enumeration Date	:	12/26/2007
Last Update Date	:	07/22/2014

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Directions to “ DR. JOSEPH STEPHEN DUBROFF ND” Practice Location

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