Individual
MS. JOSANA JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A, D.P.M, P.C.C
Contact information
Practice address
222 N PACIFIC COAST HWY STE 1420, EL SEGUNDO, CA 90245-5648
(310) 750-4511
Mailing address
11420 SANTA MONICA BOULEVARD, P.O BOX #252212, LOS ANGELES, CA 90025-8978
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
15478
CA
213E00000X
Podiatrist
007058
NY
213E00000X
Podiatrist
1038
CT
213E00000X
Podiatrist
Primary
E5885
CA
363A00000X
Physician Assistant
011385
NY
363A00000X
Physician Assistant
4656
CT
Other
Enumeration date
05/14/2007
Last updated
09/02/2025
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