Erick Mayen

Peer Specialist · Altadena, CA

Individual Active NPI

NPI number 1053119388

Practice location

1092 New York Dr
Altadena, CA 91001-3118
Phone
(626) 319-2038

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NPI record

NPI
1053119388
Entity type
Individual (Type 1)
Enumeration date
March 4, 2025
Last updated
March 4, 2025
Certified
February 12, 2025
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Peer Specialist Primary 175T00000X MPSS-QVICZA CA

Mailing address

12070 Telegraph Rd
Santa Fe Springs, CA 90670-3771
Phone
(562) 777-7500

About Erick Mayen

Erick Mayen is a healthcare provider registered in the NPI registry with the primary taxonomy Peer Specialist (code 175T00000X). The practice location is 1092 New York Dr, Altadena, CA 91001-3118. The NPI number 1053119388 was assigned on March 4, 2025 and the record was last updated on March 4, 2025.

Erick Mayen lists a license in the registry: #MPSS-QVICZA (CA) for Peer Specialist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Erick Mayen?

The NPI number is 1053119388.

What is the phone number of Erick Mayen?

The phone number listed for the practice location is (626) 319-2038.

Where is Erick Mayen located?

1092 New York Dr, Altadena, CA 91001-3118.

What is the taxonomy code for Erick Mayen?

The primary taxonomy code is 175T00000X – Peer Specialist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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