Jonathan Tostin Woodland in Orange - Licensed Psychiatric Technician
Jonathan Tostin Woodland - NPI 1053457994
Jonathan Tostin Woodland is a Licensed Psychiatric Technician in Orange, California. Jonathan Tostin Woodland practices all healthcare services and medical treatments related to Licensed Psychiatric Technician. The NPI Number for Jonathan Tostin Woodland is 1053457994. The last update date is 2007-07-08.
Jonathan Tostin Woodland's current location address is 1717 W Orangewood Ave, Orange, California. You can contact this provider via phone number 7147128340. The mailing address for Jonathan Tostin Woodland is 1717 W Orangewood Ave, Orange, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jonathan Tostin Woodland |
|---|---|
| Address | 1717 W Orangewood Ave, Orange, California |
| Phone Number | 7147128340 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | L.P.T. |
NPI Number Detail
| NPI Number | 1053457994 |
|---|---|
| Provider Enumeration Date | 2007-01-29 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1717 W Orangewood Ave |
|---|---|
| City | Orange |
| State | California (CA) |
| Post Code | 9286820400 |
| Phone Number | 7147128340 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Psychiatric Technician |
|---|---|
| Taxonomy | 167G00000X |
| Licence No | PT 28746 |
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Definition: An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psych |
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What is the unique 10-digit identification code issued to Jonathan Tostin Woodland by the Centers for Medicare & Medicaid Services?
The Jonathan Tostin Woodland has been assigned the NPI (National Provider Identifier) 1053457994 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Jonathan Tostin Woodland?
The Jonathan Tostin Woodland is situated at 1717 W Orangewood Ave, in the city of Orange, state of CA, with the zip code 9286820400.
What is Jonathan Tostin Woodland's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jonathan Tostin Woodland's area of specialization is Licensed Psychiatric Technician, and the corresponding taxonomy code that categorizes this field of practice is 167G00000X.
On what date did the Jonathan Tostin Woodland receive its 1053457994 assignment from the Centers for Medicare & Medicaid Services?
The Jonathan Tostin Woodland was assigned its 1053457994 by the Centers for Medicare & Medicaid Services on 2007-01-29.
As of what date were the details related to Jonathan Tostin Woodland most recently updated or revised?
The information pertaining to Jonathan Tostin Woodland, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.