Healthcare Provider Details

I. General information

NPI: 1659288181
Provider Name (Legal Business Name): JOE SCRIBNER M.ED.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 08/27/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4075 NIELSON RD
PHELAN CA
92371-8896
US

IV. Provider business mailing address

6249 BERNE PLACE
WRIGHTWOOD CA
92397-2116
US

V. Phone/Fax

Practice location:
  • Phone: 760-868-5817
  • Fax:
Mailing address:
  • Phone: 760-868-5817
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License NumberAFAC7F23F6
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: