Dr. Fulviu Mihai Fodoreanu, PsyD
Psychologist, Clinical in Covina, CA. Individual provider (NPI-1).
NPI number1114394152
StatusActive
Last updated in NPPESAug 7, 2023
Details
- NPI
- 1114394152
- Entity type
- Individual (NPI-1)
- Name
- Dr. Fulviu Mihai Fodoreanu
- Credential
- PsyD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 25, 2015
- Certification date
- Aug 7, 2023
- Last updated
- Aug 7, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | PSB94027580 | CA | Yes |
Practice location
536 S 2nd AveCovina, CA 91723-3043
Phone 626-479-2029 · Fax 626-479-2029
Mailing address
Po Box 9254San Bernardino, CA 92427-0254
Phone 844-376-4424 · Fax 844-376-4424
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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