Provider Demographics
NPI:1164232054
Name:SPITERI, ERIKA
Entity type:Individual
Prefix:
First Name:ERIKA
Middle Name:
Last Name:SPITERI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1439 N HIGHLAND AVE APT 277
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90028-7622
Mailing Address - Country:US
Mailing Address - Phone:323-765-5740
Mailing Address - Fax:
Practice Address - Street 1:1439 N HIGHLAND AVE APT 277
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90028-7622
Practice Address - Country:US
Practice Address - Phone:323-765-5740
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-13
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA93530225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist