Most Relevant Information
Provider Data
| NPI Number: | 1003438433 |
| Provider Name: | JOSEPH MADRID LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 94030 |
Most Important Dates
| Enumeration Date: | 05/07/2020 |
| Last Updated: | 05/07/2020 |
Provider Practice Location
252 16TH PL APT C
COSTA MESA
CA
926279410
Practice Location Phone/Fax
| Phone: | 9495665222 |
| Fax: |
Provider Mailing Location
252 16TH PL APT C
COSTA MESA
CA
926279410
Provider Mailing Phone/Fax
| Phone: | 9495665222 |
| Fax: |