Provider Demographics
NPI:1225226368
Name:TOCHIKI, GAVIN TAKESHI (LCSW)
Entity Type:Individual
Prefix:MR
First Name:GAVIN
Middle Name:TAKESHI
Last Name:TOCHIKI
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2615 PLAZA DEL AMO
Mailing Address - Street 2:#647
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90503-7354
Mailing Address - Country:US
Mailing Address - Phone:424-558-8543
Mailing Address - Fax:
Practice Address - Street 1:4335 ATLANTIC AVE
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90807-2803
Practice Address - Country:US
Practice Address - Phone:562-216-4900
Practice Address - Fax:562-912-1869
Is Sole Proprietor?:No
Enumeration Date:2007-10-12
Last Update Date:2021-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCSW702191041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical