Healthcare Provider Details

I. General information

NPI: 1760190938
Provider Name (Legal Business Name): JOSEPH TOEWS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/07/2022
Last Update Date: 06/07/2024
Certification Date: 06/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1101 N SEPULVEDA BLVD STE 201
MANHATTAN BEACH CA
90266-5963
US

IV. Provider business mailing address

1101 N SEPULVEDA BLVD STE 201
MANHATTAN BEACH CA
90266-5963
US

V. Phone/Fax

Practice location:
  • Phone: 877-544-4153
  • Fax:
Mailing address:
  • Phone: 877-544-4153
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberAMFT137694
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: