Healthcare Provider Details

I. General information

NPI: 1851906549
Provider Name (Legal Business Name): ERIC OCHOA MA, LMFT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/10/2020
Last Update Date: 04/10/2026
Certification Date: 04/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

505 CENTRAL AVE APT C
PACIFIC GROVE CA
93950-2774
US

IV. Provider business mailing address

505 CENTRAL AVE APT C
PACIFIC GROVE CA
93950-2774
US

V. Phone/Fax

Practice location:
  • Phone: 415-483-9489
  • Fax:
Mailing address:
  • Phone: 808-840-9456
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number137863
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number121200
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: