Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 126800000X | Dental Assistant | 65301 | CA |
NPI | 1225261944 |
---|---|
Provider Name | Mrs. Beatriz Adriana Espinoza |
First Address | Los Angeles, CA 90023-2514 |
Second Address | Los Angeles, CA 90023-2514 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/08/2009 |
Last Update Date | 27/08/2009 |