Healthcare Provider Details

I. General information

NPI: 1134656010
Provider Name (Legal Business Name): MR. MUN KEONG JOSHUA TOH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2017
Last Update Date: 08/24/2022
Certification Date: 08/24/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

39350 CIVIC CENTER DR
FREMONT CA
94538-2343
US

IV. Provider business mailing address

39350 CIVIC CENTER DR
FREMONT CA
94538-2343
US

V. Phone/Fax

Practice location:
  • Phone: 510-494-4000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: