Healthcare Provider Details

I. General information

NPI: 1912520032
Provider Name (Legal Business Name): STEVEN R. HOBBS MFT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2020
Last Update Date: 05/22/2020
Certification Date: 05/22/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31356 VIA COLINAS STE 114
WESTLAKE VILLAGE CA
91362-6864
US

IV. Provider business mailing address

1377 HENDRIX AVE
THOUSAND OAKS CA
91360-3425
US

V. Phone/Fax

Practice location:
  • Phone: 805-557-8916
  • Fax:
Mailing address:
  • Phone: 818-613-2409
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number107966
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: