Healthcare Provider Details

I. General information

NPI: 1700287091
Provider Name (Legal Business Name): JENNIFER YI ISERI LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/05/2014
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8632 VIENNA DR
EASTVALE CA
92880-3750
US

IV. Provider business mailing address

8632 VIENNA DR
EASTVALE CA
92880-3750
US

V. Phone/Fax

Practice location:
  • Phone: 949-391-9741
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLMFT82010
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: