MEDICARE: ERIKA YAZMITH LIMON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171M00000X	Case Manager/Care Coordinator
2	225400000X	Rehabilitation Practitioner

General Provider Information

NPI Number	:	1578135448
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIKA YAZMITH LIMON

Provider Business Mailing Address
First Line	:	751 E DAILY DR STE 310
Second Line	:
City	:	CAMARILLO
State	:	CA
Zip	:	93010-6077
Country	:	US
Telephone Number	:	805-366-4040
Fax Number	:	805-482-0987

Provider Business Practice Location Address
First Line	:	1722 S LEWIS RD
Second Line	:
City	:	CAMARILLO
State	:	CA
Zip	:	93012-8520
Country	:	US
Telephone Number	:	805-289-0120
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/12/2021
Last Update Date	:	03/19/2026

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Directions to “ ERIKA YAZMITH LIMON ” Practice Location

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