Healthcare Provider Details

I. General information

NPI: 1689628265
Provider Name (Legal Business Name): JOSHUA A. ISRAEL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/19/2006
Last Update Date: 01/14/2025
Certification Date: 01/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2230 W CHAPMAN AVE STE 212
ORANGE CA
92868-2316
US

IV. Provider business mailing address

4550 MONTGOMERY AVE STE 950N
BETHESDA MD
20814-3339
US

V. Phone/Fax

Practice location:
  • Phone: 714-712-0711
  • Fax: 657-224-4781
Mailing address:
  • Phone: 202-847-8167
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberD0082076
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberA68944
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: