=====================================================
General NPI Number Information
=====================================================
NPI Number | 1528188794
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | MARGO DOXAKIS STEIN MFT PSYCOTHERAPIST
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/30/2007
-----------------------------------------------------
Last Update Date | 09/11/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 509 N SEPULVEDA BLVD SUITE 201
-----------------------------------------------------
City | MANHATTAN BEACH
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 90266
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 310-379-4700
-----------------------------------------------------
Fax | 310-379-0606
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 420 BUNGALOW DR
-----------------------------------------------------
City | EL SEGUNDO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 90245
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 310-379-4700
-----------------------------------------------------
Fax | 310-379-0606
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 103T00000X
-----------------------------------------------------
Taxonomy Name | Psychologist
-----------------------------------------------------
License Number | MFC28999
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------