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NPI Code Detail

MEDICARE: TOBINWORLD

MEDICARE: TOBINWORLD
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
1251S00000XCommunity/Behavioral Health Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
17530AOTHERCALACDMH PROVIDER NUMBER

General Provider Information

NPI Number : 1669501128
Entity Type Code : Organization
Provider Name (Legal Business Name) : TOBINWORLD
Provider Business Mailing Address
First Line : 170 SOUTH OAKLAND AVENUE
Second Line :
City : PASADENA
State : CA
Zip : 91101-2561
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 170 SOUTH OAKLAND AVENUE
Second Line :
City : PASADENA
State : CA
Zip : 91101-2561
Country : US
Telephone Number : 818-242-8403
Fax Number : 818-242-3187
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MRS. JUDY ISRAEL
Credential : PHD
Telephone Number : 818-242-8403
Provider Enumeration Date : 03/02/2007
Last Update Date : 10/24/2022

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Directions to “TOBINWORLD ” Practice Location

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