Provider Demographics
NPI:1437716180
Name:ROSSIO, ERICA TOBIN (FCP)
Entity Type:Individual
Prefix:
First Name:ERICA
Middle Name:TOBIN
Last Name:ROSSIO
Suffix:
Gender:F
Credentials:FCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4260 BODEGA BAY WAY
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92058-6929
Mailing Address - Country:US
Mailing Address - Phone:760-715-6010
Mailing Address - Fax:
Practice Address - Street 1:11451 BLUE CYPRESS DR
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92131-3772
Practice Address - Country:US
Practice Address - Phone:619-630-8086
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-28
Last Update Date:2019-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0050XAmbulatory Health Care FacilitiesClinic/CenterFamily Planning, Non-Surgical
No374K00000XNursing Service Related ProvidersReligious Nonmedical Practitioner