Provider Demographics
NPI:1003930983
Name:LICHTMAN, JOSHUA MARK (DO)
Entity Type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:MARK
Last Name:LICHTMAN
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:3333 SKYPARK DR
Mailing Address - Street 2:STE 220
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-5035
Mailing Address - Country:US
Mailing Address - Phone:562-657-2010
Mailing Address - Fax:562-657-2779
Practice Address - Street 1:9449 IMPERIAL HWY STE 206
Practice Address - Street 2:
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90242-2814
Practice Address - Country:US
Practice Address - Phone:562-657-2010
Practice Address - Fax:562-657-2779
Is Sole Proprietor?:No
Enumeration Date:2007-03-18
Last Update Date:2016-03-31
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA20A89092084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry