MEDICARE: TRANSFORMING THE INNER SELF INC.

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	106H00000X	Marriage & Family Therapist

General Provider Information

NPI Number	:	1861324857
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRANSFORMING THE INNER SELF INC.

Provider Business Mailing Address
First Line	:	400 MOBIL AVE STE D27
Second Line	:
City	:	CAMARILLO
State	:	CA
Zip	:	93010-6338
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	400 MOBIL AVE STE D27
Second Line	:
City	:	CAMARILLO
State	:	CA
Zip	:	93010-6338
Country	:	US
Telephone Number	:	805-402-1093
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	GUADALUPE CERVANTES-ORTIZ
Credential	:
Telephone Number	:	805-402-1093

Provider Enumeration Date	:	06/02/2026
Last Update Date	:	06/02/2026

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