Individual
JONATHAN TOSTIN WOODLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.P.T.
Contact information
Practice address
1717 W ORANGEWOOD AVE, SUITE I, ORANGE, CA 92868-2040
(714) 712-8340
Mailing address
800 S SANTA ANITA AVE, ARCADIA, CA 91006-6853
(626) 254-5000
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT 28746
CA
Other
Enumeration date
01/29/2007
Last updated
07/08/2007
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