Healthcare Provider Details
I. General information
NPI: 1174460828
Provider Name (Legal Business Name): PAUL F. DORIN, PH.D. MARRIAGE FAMILY AND CHILD THERAPIST, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/30/2026
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
24520 HAWTHORNE BLVD STE 220
TORRANCE CA
90505-6848
US
IV. Provider business mailing address
24520 HAWTHORNE BLVD STE 220
TORRANCE CA
90505-6848
US
V. Phone/Fax
- Phone: 310-375-9707
- Fax: 310-375-0343
- Phone: 310-375-9707
- Fax: 310-375-0343
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 106H00000X |
| Taxonomy | Marriage & Family Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
PAUL
FOSDYKE
DORIN
Title or Position: OWNER
Credential: PH.D., MFT
Phone: 310-766-7202