MEDICARE: LINDA TATIANA ESPINOZA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	67202	CA
2	1041C0700X	Clinical Social Worker	LCSW88224	CA
3	1041C0700X	Clinical Social Worker	106792	TX

General Provider Information

NPI Number	:	1164838520
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDA TATIANA ESPINOZA

Provider Business Mailing Address
First Line	:	3217 CARSON ST # 1163
Second Line	:
City	:	LAKEWOOD
State	:	CA
Zip	:	90712-4006
Country	:	US
Telephone Number	:	562-245-9828
Fax Number	:	866-280-7964

Provider Business Practice Location Address
First Line	:	3217 CARSON ST # 1163
Second Line	:
City	:	LAKEWOOD
State	:	CA
Zip	:	90712-4006
Country	:	US
Telephone Number	:	562-245-9828
Fax Number	:	866-280-7964

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/07/2014
Last Update Date	:	03/02/2026

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Directions to “ LINDA TATIANA ESPINOZA ” Practice Location

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