MEDICARE: MR. MICHAEL JAMES TOGNETTI LMFT

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	106H00000X	Marriage & Family Therapist	MFC78346	CA

General Provider Information

NPI Number	:	1437572757
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. MICHAEL JAMES TOGNETTI LMFT

Provider Business Mailing Address
First Line	:	3833 SCHAEFER AVE
Second Line	:	SUITE K
City	:	CHINO
State	:	CA
Zip	:	91710-5456
Country	:	US
Telephone Number	:	909-590-2260
Fax Number	:	909-590-2428

Provider Business Practice Location Address
First Line	:	3833 SCHAEFER AVE
Second Line	:	SUITE K
City	:	CHINO
State	:	CA
Zip	:	91710-5456
Country	:	US
Telephone Number	:	909-590-2260
Fax Number	:	909-590-2428

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

Provider Enumeration Date	:	01/22/2014
Last Update Date	:	01/22/2014

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