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NPI Code Detail

MEDICARE: MS. WENDY ESQUEDA

MEDICARE: MS. WENDY ESQUEDA
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1194858258
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. WENDY ESQUEDA
Provider Business Mailing Address
First Line : 2309 DALY ST
Second Line :
City : LOS ANGELES
State : CA
Zip : 90031-2230
Country : US
Telephone Number : 323-222-4591
Fax Number : 323-222-4614
Provider Business Practice Location Address
First Line : 2309 DALY ST
Second Line :
City : LOS ANGELES
State : CA
Zip : 90031-2230
Country : US
Telephone Number : 323-222-4591
Fax Number : 323-222-4614
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2007
Last Update Date : 08/23/2011

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