Erica Humphreys, is a
Student In An Organized Health Care Education/training Program based in La Jolla, California. Erica Humphreys is licensed to practice in * (Not Available) (license number ) and her current practice location is
3869 Miramar St # 1427, La Jolla, California. She can be reached at her office (for appointments etc.) via phone at
(616) 443-7112.
NPI number for Erica Humphreys is 1205628674 and her current mailing address is 3869 Miramar St # 1427, La Jolla, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1205628674.
Provider's Profile
| Full Name | Erica Humphreys |
|---|
| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 3869 Miramar St # 1427, La Jolla, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1205628674
- Provider Enumeration Date: 05/20/2025
- Last Update Date: 05/20/2025
Medical Identifiers
Medical identifiers for Erica Humphreys such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1205628674 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363AM0700X | Physician Assistant - Medical | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Erica Humphreys is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Erica Humphreys,
3869 Miramar St # 1427,
La Jolla, CA 92092-0004
Ph: (616) 443-7112 | Erica Humphreys,
3869 Miramar St # 1427,
La Jolla, CA 92092-0004
Ph: (616) 443-7112 |
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