Doric George, MA, MFT, LPCC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC38343 Issued in CA

Practice address

23545 Crenshaw Blvd Ste 210
Torrance, CA 90505-5253

Phone

(310) 717-1771

NPI assigned

Jan 27, 2014

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1390780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698019200000",
    "number": "1053734046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1223 WILSHIRE BLVD UNIT 771",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904035406",
            "telephone_number": "310-717-1771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23545 CRENSHAW BLVD STE 210",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905055253",
            "telephone_number": "310-717-1771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "DORIC",
        "name_prefix": "Mr.",
        "credential": "MA, MFT, LPCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-01-27",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CA",
            "license": "LPC208",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC38343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annette Marie Genova, MD
• Sherri Lynn Gentile, NP
• Gentle Hearts Home Health LLC
• Genus Chiropractic Inc
• William Geoghegan
• Johnie George
• Theodore Georgis Jr., M.D.
• Gerber Ambulance Company, Inc.
• Geri-Care II, Inc.
• Geri-Care Inc.

• Marriage & Family Therapist in Torrance, CA
• Providers in Torrance, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.