MEDICARE: MS. JODI MICHELLE HOCHSTADTER M.ED., LMFT, PSY.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	106H00000X	Marriage & Family Therapist	MFC42221	CA
2	103T00000X	Psychologist	PSY35362	CA

General Provider Information

NPI Number	:	1932237047
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JODI MICHELLE HOCHSTADTER M.ED., LMFT, PSY.D

Provider Business Mailing Address
First Line	:	8843 AZUL CIR
Second Line	:
City	:	WEST HILLS
State	:	CA
Zip	:	91304-2112
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3610 CENTRAL AVE STE 500
Second Line	:
City	:	RIVERSIDE
State	:	CA
Zip	:	92506-5907
Country	:	US
Telephone Number	:	442-327-9311
Fax Number	:

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

Provider Enumeration Date	:	03/01/2007
Last Update Date	:	09/26/2024

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