Healthcare Provider Details

I. General information

NPI: 1114069283
Provider Name (Legal Business Name): WINSLEY B HECTOR LMFT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/13/2007
Last Update Date: 07/10/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13001 RAMONA BLVD STE E
IRWINDALE CA
91706-3752
US

IV. Provider business mailing address

7693 BLUE MIST CT
CORONA CA
92880-3211
US

V. Phone/Fax

Practice location:
  • Phone: 626-480-8107
  • Fax: 626-869-0280
Mailing address:
  • Phone: 951-898-5652
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMFC 41693
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: