Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0200X | Nurse Practitioner - Pediatrics | 357077 | CA |
N | 363LP2300X | Nurse Practitioner - Primary Care | 357077 | CA |
NPI | 1003261272 |
---|---|
Provider Name | Ms. Laura Elvira Espinosa |
First Address | Los Angeles, CA 90032-3008 |
Second Address | Los Angeles, CA 90032-3008 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/04/2016 |
Last Update Date | 25/04/2016 |