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NPI Code Detail

MEDICARE: MR. HUGO PASTORE MFT

MEDICARE: MR. HUGO PASTORE MFT
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
1106H00000XMarriage & Family Therapist45816CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2CB20940OTHERCALA DMH PROVIDER

General Provider Information

NPI Number : 1386763506
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. HUGO PASTORE MFT
Provider Business Mailing Address
First Line : 2132 W 237TH ST
Second Line :
City : TORRANCE
State : CA
Zip : 90501-6015
Country : US
Telephone Number : 310-530-9939
Fax Number :
Provider Business Practice Location Address
First Line : 3910 OAKWOOD AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90004-3413
Country : US
Telephone Number : 323-953-7350
Fax Number : 323-661-7306
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2007
Last Update Date : 06/18/2008

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Directions to “ MR. HUGO PASTORE MFT” Practice Location

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