1467785899 NPI number — MISS YVONNE L. GATLING DOMESTIC VIOLENCE

Table of content: MISS YVONNE L. GATLING DOMESTIC VIOLENCE (NPI 1467785899)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1467785899 NPI number — MISS YVONNE L. GATLING DOMESTIC VIOLENCE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
GATLING
Provider First Name:
YVONNE
Provider Middle Name:
L.
Provider Name Prefix Text:
MISS
Provider Name Suffix Text:
Provider Credential Text:
DOMESTIC VIOLENCE
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1467785899
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/11/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
POB 2149
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SUN CITY
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
92586-2149
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
951-535-0805
Provider Business Mailing Address Fax Number:
951-639-6054

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1890 N GAREY AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
POMONA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91767-2923
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
310-993-4388
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/16/2009

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 171M00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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