Provider Demographics
NPI:1518753789
Name:UNZUETA, ERIK RYAN (MS)
Entity type:Individual
Prefix:
First Name:ERIK
Middle Name:RYAN
Last Name:UNZUETA
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1823 N 5TH ST
Mailing Address - Street 2:
Mailing Address - City:PORT HUENEME
Mailing Address - State:CA
Mailing Address - Zip Code:93041-2212
Mailing Address - Country:US
Mailing Address - Phone:805-228-2856
Mailing Address - Fax:
Practice Address - Street 1:1545 W 5TH ST STE 210
Practice Address - Street 2:
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93030-6510
Practice Address - Country:US
Practice Address - Phone:805-228-2856
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-15
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist