Individual
BERLYN GASPORRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
270 W SPARKLEBERRY AVE, ORANGE, CA 92865-5012
(714) 824-9312
Mailing address
270 W SPARKLEBERRY AVE, ORANGE, CA 92865-5012
(714) 824-9312
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/28/2018
Last updated
07/28/2018
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