Healthcare Provider Details

I. General information

NPI: 1386565125
Provider Name (Legal Business Name): JOSHUA BUCHALTER LMFT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: JOSH BUCHALTER LMFT

II. Dates (important events)

Enumeration Date: 07/24/2026
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2510 MAIN ST STE 205
SANTA MONICA CA
90405-3583
US

IV. Provider business mailing address

2510 MAIN ST STE 205
SANTA MONICA CA
90405-3583
US

V. Phone/Fax

Practice location:
  • Phone: 310-945-7527
  • Fax:
Mailing address:
  • Phone: 310-945-7527
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number164558
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: