Healthcare Provider Details

I. General information

NPI: 1841763331
Provider Name (Legal Business Name): GABRIELA CAMARGO YEARICK
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/07/2019
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5104 ELIOT ST
OCEANSIDE CA
92057-2646
US

IV. Provider business mailing address

4950 WARING RD STE 4
SAN DIEGO CA
92120-2700
US

V. Phone/Fax

Practice location:
  • Phone: 760-637-2340
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberASW138218
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: