Provider Demographics
NPI:1659247112
Name:MCCALL MURILLO, ERIN KATHERINE (WELLNESS COACH II)
Entity type:Individual
Prefix:MS
First Name:ERIN
Middle Name:KATHERINE
Last Name:MCCALL MURILLO
Suffix:
Gender:F
Credentials:WELLNESS COACH II
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9418 CLEMENTE DR
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94603-3055
Mailing Address - Country:US
Mailing Address - Phone:510-828-4423
Mailing Address - Fax:
Practice Address - Street 1:1219 PERALTA ST
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94607-2013
Practice Address - Country:US
Practice Address - Phone:510-828-4423
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-13
Last Update Date:2025-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMPSS-EFWOGH175T00000X
CAA9BF29737E171400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach
No175T00000XOther Service ProvidersPeer Specialist