Individual
ERIKA NICOLE UBOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
301 VICTORIA ST, COSTA MESA, CA 92627-1995
(949) 642-2734
Mailing address
PO BOX 2243, CHINO HILLS, CA 91709-0075
(909) 927-7183
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1972942068
CA
Other
Enumeration date
06/21/2013
Last updated
02/03/2022
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