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NPI Code Detail

MEDICARE: DR. NATASHA JOFFE PSY. D.

MEDICARE: DR. NATASHA JOFFE PSY. D.
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
1103TC0700XClinical PsychologistPSY28083CA

General Provider Information

NPI Number : 1720395098
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NATASHA JOFFE PSY. D.
Provider Business Mailing Address
First Line : 1447 16TH ST
Second Line :
City : SANTA MONICA
State : CA
Zip : 90404-2715
Country : US
Telephone Number : 310-828-6717
Fax Number :
Provider Business Practice Location Address
First Line : 1453 16TH ST
Second Line :
City : SANTA MONICA
State : CA
Zip : 90404-2715
Country : US
Telephone Number : 310-264-6646
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/08/2010
Last Update Date : 03/10/2016

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