Healthcare Provider Details

I. General information

NPI: 1598678658
Provider Name (Legal Business Name): JOSEPH W TOLAND
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7899 MISSION GROVE PKWY S
RIVERSIDE CA
92508-5088
US

IV. Provider business mailing address

13305 VIA ROBLES CIR
VICTORVILLE CA
92392-8906
US

V. Phone/Fax

Practice location:
  • Phone: 951-776-9223
  • Fax:
Mailing address:
  • Phone: 909-490-6540
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number165148
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: