Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 20A6492 | CA |
NPI | 1285795088 |
---|---|
Provider Name | Dr. Brenda Espe |
First Address | Long Beach, CA 90814-1569 |
Second Address | Long Beach, CA 90814-1569 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/12/2006 |
Last Update Date | 08/07/2007 |