Provider Demographics
NPI:1245355254
Name:DORIN, PAUL F (PHD)
Entity type:Individual
Prefix:
First Name:PAUL
Middle Name:F
Last Name:DORIN
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24520 HAWTHORNE BLVD STE 220
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-6848
Mailing Address - Country:US
Mailing Address - Phone:310-375-9707
Mailing Address - Fax:310-375-0343
Practice Address - Street 1:24520 HAWTHORNE BLVD STE 220
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-6848
Practice Address - Country:US
Practice Address - Phone:310-375-9707
Practice Address - Fax:310-375-0343
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC18284106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist