Healthcare Provider Details

I. General information

NPI: 1467384289
Provider Name (Legal Business Name): ERICA MINGEE LEP, PPS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/03/2026
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

609 SUN CIR
VISTA CA
92081-7551
US

IV. Provider business mailing address

609 SUN CIR
VISTA CA
92081-7551
US

V. Phone/Fax

Practice location:
  • Phone: 760-963-3477
  • Fax:
Mailing address:
  • Phone: 760-963-3477
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number250093653
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number4379
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: