MEDICARE: DR. PAUL WITTENBERG 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	PSY5726	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	PSY057260	OTHER	CA	MEDI-CAL PROVIDER NUMBER

General Provider Information

NPI Number	:	1720127061
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PAUL WITTENBERG PH.D.

Provider Business Mailing Address
First Line	:	7212 SEAWORTHY DR
Second Line	:
City	:	HUNTINGTON BEACH
State	:	CA
Zip	:	92648-3038
Country	:	US
Telephone Number	:	714-374-1289
Fax Number	:	714-374-5191

Provider Business Practice Location Address
First Line	:	7212 SEAWORTHY DR
Second Line	:
City	:	HUNTINGTON BEACH
State	:	CA
Zip	:	92648-3038
Country	:	US
Telephone Number	:	714-374-1289
Fax Number	:	714-374-5191

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

Provider Enumeration Date	:	02/05/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1487648671 — DR. STEVEN S TURNER D.D.S.
Practice Location Address:

16004 88TH ST
HOWARD BEACH, NY
11414-3038

Practice Phone: 718-835-0800
Practice Fax: 718-835-7470

1235179805 — DR. DAVID EDWARD ROBERTS MD
Practice Location Address:

300 71ST ST , SUITE 620
MIAMI BEACH, FL
33141-3038

Practice Phone: 800-610-0886
Practice Fax:

1508895798 — STEVEN S. TURNER D.D.S.,P.C.
Practice Location Address:

16004 88TH ST
HOWARD BEACH, NY
11414-3038

Practice Phone: 718-835-0800
Practice Fax: 718-835-7470

1851407720 — DR. MICHAEL LEON HEMSLEY M.D.
Practice Location Address:

300 71ST ST , SUITE 620
MIAMI BEACH, FL
33141-3038

Practice Phone: 305-866-9951
Practice Fax: 305-614-3352

1508937103 — DR. JOSEPH JAMES FASTAIA M.D.
Practice Location Address:

300 71ST ST , SUITE# 620
MIAMI BEACH, FL
33141-3038

Practice Phone: 305-866-9951
Practice Fax: 305-614-3352

1407059629 — MRS. BRIDGET MARTIN ARNPC
Practice Location Address:

300 71ST ST , SUITE # 620
MIAMI BEACH, FL
33141-3038

Practice Phone: 305-866-9951
Practice Fax: 305-614-3352

Directions to “ DR. PAUL WITTENBERG PH.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.