Provider Demographics
NPI:1740824382
Name:HOXBY ENTERPRISES INC
Entity type:Organization
Organization Name:HOXBY ENTERPRISES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DEREK
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:HOXBY
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:310-402-3783
Mailing Address - Street 1:27311 RAINBOW RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:PALOS VERDES ESTATES
Mailing Address - State:CA
Mailing Address - Zip Code:90274-4024
Mailing Address - Country:US
Mailing Address - Phone:310-402-3783
Mailing Address - Fax:714-733-1244
Practice Address - Street 1:24050 MADISON ST STE 200
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-6016
Practice Address - Country:US
Practice Address - Phone:310-402-3783
Practice Address - Fax:714-733-1244
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-06
Last Update Date:2019-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1932347671Other1932338671