Healthcare Provider Details

I. General information

NPI: 1134771249
Provider Name (Legal Business Name): PAOLA OCHOA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2019
Last Update Date: 07/08/2025
Certification Date: 07/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1630 E MAIN ST
EL CAJON CA
92021-5204
US

IV. Provider business mailing address

PO BOX 161433
SAN DIEGO CA
92176-1433
US

V. Phone/Fax

Practice location:
  • Phone: 833-579-4848
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number156170
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: