Healthcare Provider Details

I. General information

NPI: 1508740895
Provider Name (Legal Business Name): ERMOTO INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/01/2025
Last Update Date: 09/17/2025
Certification Date: 09/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1508 VETERAN AVE APT 405
LOS ANGELES CA
90024-5574
US

IV. Provider business mailing address

1508 VETERAN AVE APT 405
LOS ANGELES CA
90024-5574
US

V. Phone/Fax

Practice location:
  • Phone: 949-674-3999
  • Fax:
Mailing address:
  • Phone: 949-674-3999
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: MICHELLE QI
Title or Position: CEO
Credential:
Phone: 949-674-3999