Healthcare Provider Details

I. General information

NPI: 1700552023
Provider Name (Legal Business Name): YASMIN OCHOA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2021
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16444 PARAMOUNT BLVD
PARAMOUNT CA
90723-5422
US

IV. Provider business mailing address

16444 PARAMOUNT BLVD
PARAMOUNT CA
90723-5422
US

V. Phone/Fax

Practice location:
  • Phone: 562-788-7252
  • Fax: 562-788-7243
Mailing address:
  • Phone: 562-788-7252
  • Fax: 855-568-2494

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberASW141410
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: