MEDICARE: DR. JOSE MARCOS LAFOSSE PH.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TB0200X	Cognitive & Behavioral Psychologist	2278	CO
2	103TC0700X	Clinical Psychologist	2278	CO
3	103G00000X	Clinical Neuropsychologist	2278	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2278	OTHER	CO	STATE LICENSE

General Provider Information

NPI Number	:	1306057260
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSE MARCOS LAFOSSE PH.D.

Provider Business Mailing Address
First Line	:	4251 KIPLING ST
Second Line	:	UNIT 565
City	:	WHEAT RIDGE
State	:	CO
Zip	:	80033-2899
Country	:	US
Telephone Number	:	720-965-0055
Fax Number	:	720-799-0383

Provider Business Practice Location Address
First Line	:	4080 CENTRE ST STE 104
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92103-2655
Country	:	US
Telephone Number	:	858-964-0722
Fax Number	:	866-437-0375

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/24/2007
Last Update Date	:	08/01/2022

Similar Medicare Providers

1881914000 — GRUPO MEDICO POLICLINICA SAN PEDRO MEDICARE ADVANTAGE
Practice Location Address:

211 CALLE MORSE
ARROYO, PR
00714-2350

Practice Phone: 787-839-3980
Practice Fax: 787-271-2515

1851472310 — MRS. KARI RUTH TAYLOR
Practice Location Address:

4080 CENTRE ST STE 103
SAN DIEGO, CA
92103-2655

Practice Phone: 619-543-9850
Practice Fax:

1386773109 — DR. BARBARA NOSAL MFT
Practice Location Address:

4080 CENTRE ST
SAN DIEGO, CA
92103-2655

Practice Phone: 619-543-9850
Practice Fax: 619-543-9491

1598896698 — TANYA Y. MCCANN MFT TRAINEE
Practice Location Address:

4080 CENTRE ST
SAN DIEGO, CA
92103-2655

Practice Phone: 619-543-9850
Practice Fax:

1689708414 — MRS. TALINE ALIDZE TOKATLIAN MFT INTERN
Practice Location Address:

4080 CENTRE ST , SUITE 101
SAN DIEGO, CA
92103-2655

Practice Phone: 619-543-9850
Practice Fax:

1346425253 — MR. JAIME OCADIZ
Practice Location Address:

4080 CENTRE ST STE 101
SAN DIEGO, CA
92103-2655

Practice Phone: 619-543-9850
Practice Fax:

Directions to “ DR. JOSE MARCOS LAFOSSE PH.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.