MEDICARE: MARGARET C STAUFFER LMFT

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	106H00000X	Marriage & Family Therapist	LMFT15657	CA

General Provider Information

NPI Number	:	1760352611
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARGARET C STAUFFER LMFT

Provider Business Mailing Address
First Line	:	1286 UNIVERSITY AVE # 1077
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92103-3312
Country	:	US
Telephone Number	:	925-628-2830
Fax Number	:

Provider Business Practice Location Address
First Line	:	606 3RD AVE APT 421
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92101-6842
Country	:	US
Telephone Number	:	925-628-2830
Fax Number	:

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

Provider Enumeration Date	:	11/06/2025
Last Update Date	:	11/06/2025

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