Provider Demographics
NPI:1427216621
Name:DHUNGANA, JOSEPHINA OLARITA (MFC)
Entity Type:Individual
Prefix:MRS
First Name:JOSEPHINA
Middle Name:OLARITA
Last Name:DHUNGANA
Suffix:
Gender:F
Credentials:MFC
Other - Prefix:MRS
Other - First Name:JOSEFINA
Other - Middle Name:OLARITA
Other - Last Name:DHUNGANA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2070 261ST ST
Mailing Address - Street 2:
Mailing Address - City:LOMITA
Mailing Address - State:CA
Mailing Address - Zip Code:90717-3216
Mailing Address - Country:US
Mailing Address - Phone:310-530-4167
Mailing Address - Fax:310-513-6766
Practice Address - Street 1:149 PALOS VERDES BLVD
Practice Address - Street 2:SUITE B
Practice Address - City:REDONDO BEACH
Practice Address - State:CA
Practice Address - Zip Code:90277-5800
Practice Address - Country:US
Practice Address - Phone:310-374-7407
Practice Address - Fax:310-318-6626
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-26
Last Update Date:2008-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 45422106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist