Provider Demographics
NPI:1063070225
Name:TROMBA, CHRISTOPHER JOEL (LMFT)
Entity type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:JOEL
Last Name:TROMBA
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:809 3/4 N MARTEL AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90046-7508
Mailing Address - Country:US
Mailing Address - Phone:805-701-8985
Mailing Address - Fax:
Practice Address - Street 1:7000 ROMAINE ST STE 207
Practice Address - Street 2:
Practice Address - City:WEST HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:90038-2304
Practice Address - Country:US
Practice Address - Phone:805-701-8985
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-03
Last Update Date:2019-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA109462106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist