MEDICARE: DR. DAVID P. FOX 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	103T00000X	Psychologist	PSY7702	CA
2	103T00000X	Psychologist	1506	MD
3	103TC0700X	Clinical Psychologist	PSY7702	CA
4	103TC0700X	Clinical Psychologist	1506	MD
5	103TF0200X	Forensic Psychologist	PSY7702	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	621330	OTHER	CA	NAICS
2	16412	OTHER	CA	BLUE SHIELD
3	1232	OTHER	CA	CPQ

General Provider Information

NPI Number	:	1689706137
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID P. FOX PH.D.

Provider Business Mailing Address
First Line	:	8370 WILSHIRE BLVD
Second Line	:	SUITE 220
City	:	BEVERLY HILLS
State	:	CA
Zip	:	90211-2333
Country	:	US
Telephone Number	:	323-653-2785
Fax Number	:	323-653-2786

Provider Business Practice Location Address
First Line	:	8370 WILSHIRE BLVD
Second Line	:	SUITE 220
City	:	BEVERLY HILLS
State	:	CA
Zip	:	90211-2333
Country	:	US
Telephone Number	:	323-653-2785
Fax Number	:	323-653-2786

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

Provider Enumeration Date	:	03/11/2007
Last Update Date	:	09/11/2025

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Directions to “ DR. DAVID P. FOX PH.D.” Practice Location

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