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NPI Code Detail

MEDICARE: ERICA GILLESPIE

MEDICARE: ERICA GILLESPIE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1316895469
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERICA GILLESPIE
Provider Business Mailing Address
First Line : 25947 TENNYSON LN
Second Line :
City : STEVENSON RANCH
State : CA
Zip : 91381-1010
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1975 ZONAL AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90089-5601
Country : US
Telephone Number : 323-442-1100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/16/2026
Last Update Date : 03/16/2026

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Directions to “ ERICA GILLESPIE ” Practice Location

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