Individual
VICTORIA ESSO GAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
16260 VENTURA BLVD STE 630, ENCINO, CA 91436-2255
(747) 264-9201
(818) 337-7494
Mailing address
5521 BODEN ST, LOS ANGELES, CA 90016-3201
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95022401
CA
Other
Enumeration date
08/29/2022
Last updated
12/23/2025
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