Gerry Fagoaga in South Pasadena - Marriage & Family Therapist
Gerry Fagoaga - NPI 1912115106
Gerry Fagoaga is a Marriage & Family Therapist in South Pasadena, California. Gerry Fagoaga practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Gerry Fagoaga is 1912115106. The last update date is 2007-07-08.
Gerry Fagoaga's current location address is 1910 Huntington Dr, South Pasadena, California. You can contact this provider via phone number 6265710077 and fax number 6264416389. The mailing address for Gerry Fagoaga is 1910 Huntington Dr, South Pasadena, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gerry Fagoaga |
|---|---|
| Address | 1910 Huntington Dr, South Pasadena, California |
| Phone Number | 6265710077 |
| Fax Number | 6264416389 |
| Sole Proprietor | Y |
| Credentials | MFT |
NPI Number Detail
| NPI Number | 1912115106 |
|---|---|
| Provider Enumeration Date | 2007-05-19 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1910 Huntington Dr |
|---|---|
| City | South Pasadena |
| State | California (CA) |
| Post Code | 910304812 |
| Phone Number | 6265710077 |
| Fax Number | 6264416389 |
Provider's Primary Taxonomy Detail
| Speciality | Marriage & Family Therapist |
|---|---|
| Taxonomy | 106H00000X |
| Licence No | MFC32143 |
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Definition: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives |
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What is the unique identification code assigned to Gerry Fagoaga by the Centers for Medicare & Medicaid Services?
The Gerry Fagoaga has been issued the NPI (National Provider Identifier) 1912115106. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Gerry Fagoaga is located?
The Gerry Fagoaga is situated at the following address: 1910 Huntington Dr, South Pasadena, CA, 910304812.
What is the area of specialization for Gerry Fagoaga, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Gerry Fagoaga is Marriage & Family Therapist, and the corresponding taxonomy code that categorizes this area of expertise is 106H00000X.
When did the Gerry Fagoaga receive its 1912115106?
The Gerry Fagoaga was issued its 1912115106 on 2007-05-19, which is the date when the organization was assigned this unique identifier.
As of what date were the Gerry Fagoaga's details last updated?
The information pertaining to the Gerry Fagoaga, including its address, specialty, and other details, was most recently updated on 2007-07-08.