Provider Demographics
NPI:1164770962
Name:CALL, ERIN BROOKE (MSPAS, PA-C)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:BROOKE
Last Name:CALL
Suffix:
Gender:F
Credentials:MSPAS, PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1240 S WESTLAKE BLVD STE 217
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91361-1995
Mailing Address - Country:US
Mailing Address - Phone:805-497-0097
Mailing Address - Fax:805-497-1557
Practice Address - Street 1:1240 S WESTLAKE BLVD STE 217
Practice Address - Street 2:
Practice Address - City:WESTLAKE VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91361-1995
Practice Address - Country:US
Practice Address - Phone:805-497-0097
Practice Address - Fax:805-497-1557
Is Sole Proprietor?:No
Enumeration Date:2012-08-28
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA363AM0700X, 363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical