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NPI Code Detail

MEDICARE: ELSA MICHELLE ESPARZA MPH, RD

MEDICARE:   ELSA MICHELLE ESPARZA  MPH, RD
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
1133V00000XRegistered Dietitian86116067CA

General Provider Information

NPI Number : 1831973478
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELSA MICHELLE ESPARZA MPH, RD
Provider Business Mailing Address
First Line : 1207 MELVILLE SQ APT 214
Second Line :
City : RICHMOND
State : CA
Zip : 94804-4566
Country : US
Telephone Number : 909-477-0253
Fax Number :
Provider Business Practice Location Address
First Line : 2121 BERKELEY WAY
Second Line :
City : BERKELEY
State : CA
Zip : 94720-2502
Country : US
Telephone Number : 909-477-0253
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/23/2023
Last Update Date : 08/23/2023

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Directions to “ ELSA MICHELLE ESPARZA MPH, RD” Practice Location

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