Provider Demographics
NPI:1467785899
Name:GATLING, YVONNE L (DOMESTIC VIOLENCE)
Entity Type:Individual
Prefix:MISS
First Name:YVONNE
Middle Name:L
Last Name:GATLING
Suffix:
Gender:F
Credentials:DOMESTIC VIOLENCE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:POB 2149
Mailing Address - Street 2:
Mailing Address - City:SUN CITY
Mailing Address - State:CA
Mailing Address - Zip Code:92586-2149
Mailing Address - Country:US
Mailing Address - Phone:951-535-0805
Mailing Address - Fax:951-639-6054
Practice Address - Street 1:1890 N GAREY AVE
Practice Address - Street 2:
Practice Address - City:POMONA
Practice Address - State:CA
Practice Address - Zip Code:91767-2923
Practice Address - Country:US
Practice Address - Phone:310-993-4388
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-09-16
Last Update Date:2022-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator