Healthcare Provider Details

I. General information

NPI: 1780706051
Provider Name (Legal Business Name): GABRIELLA ESTERINA OCHOA DEL GAUDIO PSYD.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/06/2007
Last Update Date: 05/23/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

711 S NEW HAMPSHIRE AVE
LOS ANGELES CA
90005-1831
US

IV. Provider business mailing address

21545 CENTRE POINTE PKWY
SANTA CLARITA CA
91350-2947
US

V. Phone/Fax

Practice location:
  • Phone: 213-385-5100
  • Fax:
Mailing address:
  • Phone: 661-259-9439
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY24537
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: