Provider Demographics
NPI:1215821871
Name:LUGO, ERIKA (PPS)
Entity type:Individual
Prefix:
First Name:ERIKA
Middle Name:
Last Name:LUGO
Suffix:
Gender:F
Credentials:PPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2800 E HOLLINGWORTH ST
Mailing Address - Street 2:
Mailing Address - City:WEST COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91792-3029
Mailing Address - Country:US
Mailing Address - Phone:626-965-1696
Mailing Address - Fax:626-810-4916
Practice Address - Street 1:2800 E HOLLINGWORTH ST
Practice Address - Street 2:
Practice Address - City:WEST COVINA
Practice Address - State:CA
Practice Address - Zip Code:91792-3029
Practice Address - Country:US
Practice Address - Phone:626-965-1696
Practice Address - Fax:626-810-4916
Is Sole Proprietor?:No
Enumeration Date:2025-06-06
Last Update Date:2025-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool