MEDICARE: ERIKA LAUREN OBER LMFT

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	110566	CA

General Provider Information

NPI Number	:	1912479494
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIKA LAUREN OBER LMFT

Provider Business Mailing Address
First Line	:	2608 BOULDER RD
Second Line	:
City	:	ALTADENA
State	:	CA
Zip	:	91001-2615
Country	:	US
Telephone Number	:	562-619-2400
Fax Number	:

Provider Business Practice Location Address
First Line	:	10825 ASHBY AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90064-3212
Country	:	US
Telephone Number	:	213-538-2790
Fax Number	:

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

Provider Enumeration Date	:	12/21/2018
Last Update Date	:	12/21/2018

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