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NPI Code Detail

MEDICARE: ERIKA MICHELLE GAYOSO

MEDICARE: ERIKA MICHELLE GAYOSO
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
1106H00000XMarriage & Family Therapist68963CA
2106H00000XMarriage & Family TherapistLMFT91195CA

General Provider Information

NPI Number : 1891126264
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIKA MICHELLE GAYOSO
Provider Business Mailing Address
First Line : 1420 S MILLIKEN AVE STE 508
Second Line :
City : ONTARIO
State : CA
Zip : 91761-2337
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1420 S MILLIKEN AVE STE 508
Second Line :
City : ONTARIO
State : CA
Zip : 91761-2337
Country : US
Telephone Number : 909-988-2418
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/10/2013
Last Update Date : 01/26/2021

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Directions to “ ERIKA MICHELLE GAYOSO ” Practice Location

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