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NPI Code Detail

MEDICARE: DR. SHERIF R TOMA PSY.D.

MEDICARE: DR. SHERIF R TOMA PSY.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
1101YM0800XMental Health Counselor
2103TC0700XClinical PsychologistPSY23960CA
3103TC1900XCounseling PsychologistPSY23960CA
4103TF0000XFamily PsychologistPSY23960CA
5103TF0200XForensic PsychologistPSY23960CA
6103TP2701XGroup Psychotherapy PsychologistPSY23960CA
7103T00000XPsychologistPSY23960CA

General Provider Information

NPI Number : 1336270305
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SHERIF R TOMA PSY.D.
Provider Business Mailing Address
First Line : 1074 VIA ROMALES
Second Line :
City : SAN DIMAS
State : CA
Zip : 91773-4422
Country : US
Telephone Number : 818-388-0267
Fax Number :
Provider Business Practice Location Address
First Line : 3633 INLAND EMPIRE BLVD STE 777
Second Line :
City : ONTARIO
State : CA
Zip : 91764-7974
Country : US
Telephone Number : 909-295-5805
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/08/2007
Last Update Date : 12/12/2024

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