Wisotsky, Joshua

Wisotsky, Joshua is an individual health care provider with primary practice located at 22115 Roscoe Blvd. , Canoga Park CA 91304. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Wisotsky, Joshua can be contacted via phone (818) 884-8100.

Contact Information

Primary practice address
22115 Roscoe Blvd. Canoga Park CA 91304
Phone: (818) 884-8100
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1689891616
LBN Legal business name Wisotsky, Joshua
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2007
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689891616 NPPES
California MEDICAID 7283

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