Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | 20A-12958 | CA |
NPI | 1003172016 |
---|---|
Provider Name | Dr. Yaminah Espinosa-Silva |
First Address | Vista, CA 92085-0127 |
Second Address | Vista, CA 92083-5102 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2012 |
Last Update Date | 11/07/2019 |