Provider Demographics
NPI:1205098456
Name:WOLFSOHN, JOSHUA BENJAMIN (DO)
Entity type:Individual
Prefix:MR
First Name:JOSHUA
Middle Name:BENJAMIN
Last Name:WOLFSOHN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:3400 DATA DRIVE
Mailing Address - Street 2:PHYSICIAN SUPPORT SERVICES, 2ND FLOOR
Mailing Address - City:RANCHO CORDOVA
Mailing Address - State:CA
Mailing Address - Zip Code:95670-7956
Mailing Address - Country:US
Mailing Address - Phone:805-278-9599
Mailing Address - Fax:805-278-1220
Practice Address - Street 1:64 EAST DAILY DRIVE
Practice Address - Street 2:
Practice Address - City:CAMARILLO
Practice Address - State:CA
Practice Address - Zip Code:93010-5803
Practice Address - Country:US
Practice Address - Phone:805-384-8071
Practice Address - Fax:805-437-8717
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-30
Last Update Date:2014-07-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZR70150207R00000X
CA20A11186207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine