Provider Demographics
NPI:1669715223
Name:MUINOS, JOSE M (PHD)
Entity type:Individual
Prefix:DR
First Name:JOSE
Middle Name:M
Last Name:MUINOS
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 1:8071 MCGREGOR CT
Mailing Address - Street 2:
Mailing Address - City:FONTANA
Mailing Address - State:CA
Mailing Address - Zip Code:92336-3947
Mailing Address - Country:US
Mailing Address - Phone:909-567-0006
Mailing Address - Fax:
Practice Address - Street 1:8071 MCGREGOR CT
Practice Address - Street 2:
Practice Address - City:FONTANA
Practice Address - State:CA
Practice Address - Zip Code:92336-3947
Practice Address - Country:US
Practice Address - Phone:909-567-0006
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-02
Last Update Date:2013-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY12709103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist