MEDICARE: JUSTIN YASGOOR

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
1	101YM0800X	Mental Health Counselor	AMFT152306	CA

General Provider Information

NPI Number	:	1386599470
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JUSTIN YASGOOR

Provider Business Mailing Address
First Line	:	3142 VISTA WAY STE 207
Second Line	:
City	:	OCEANSIDE
State	:	CA
Zip	:	92056-3628
Country	:	US
Telephone Number	:	760-400-6082
Fax Number	:

Provider Business Practice Location Address
First Line	:	3142 VISTA WAY STE 207
Second Line	:
City	:	OCEANSIDE
State	:	CA
Zip	:	92056-3628
Country	:	US
Telephone Number	:	760-400-6082
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/03/2026
Last Update Date	:	03/03/2026

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Directions to “ JUSTIN YASGOOR ” Practice Location

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