Healthcare Provider Details

I. General information

NPI: 1154253748
Provider Name (Legal Business Name): JOSEPH HOUSER MDIV
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/30/2026
Last Update Date: 05/30/2026
Certification Date: 05/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7767 MARGERUM AVE UNIT 252
SAN DIEGO CA
92120-1468
US

IV. Provider business mailing address

7767 MARGERUM AVE UNIT 252
SAN DIEGO CA
92120-1468
US

V. Phone/Fax

Practice location:
  • Phone: 619-890-9585
  • Fax:
Mailing address:
  • Phone: 619-890-9585
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP1600X
TaxonomyPastoral Counselor
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: