Healthcare Provider Details

I. General information

NPI: 1427177807
Provider Name (Legal Business Name): TODD FHILIPH DEUTSCH M.A.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/28/2007
Last Update Date: 02/03/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10350 SANTA MONICA BLVD SUITE 310
LOS ANGELES CA
90025-5055
US

IV. Provider business mailing address

1200 WILSHIRE BLVD SUITE 500
LOS ANGELES CA
90017-1908
US

V. Phone/Fax

Practice location:
  • Phone: 919-887-8550
  • Fax:
Mailing address:
  • Phone: 213-481-4260
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMFC45924
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: