Provider Demographics
NPI:1164035374
Name:MALHERBE, ERIKA LYNN (PA-C)
Entity Type:Individual
Prefix:MS
First Name:ERIKA
Middle Name:LYNN
Last Name:MALHERBE
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MRS
Other - First Name:ERIKA
Other - Middle Name:LYNN
Other - Last Name:MALHERBE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PA-C
Mailing Address - Street 1:25405 HANCOCK AVE STE 108
Mailing Address - Street 2:
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92562-5983
Mailing Address - Country:US
Mailing Address - Phone:951-304-7854
Mailing Address - Fax:951-304-7855
Practice Address - Street 1:25405 HANCOCK AVE STE 108
Practice Address - Street 2:
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92562-5983
Practice Address - Country:US
Practice Address - Phone:951-304-7854
Practice Address - Fax:951-304-7855
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-27
Last Update Date:2022-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA58310363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant