Healthcare Provider Details
I. General information
NPI: 1437262474
Provider Name (Legal Business Name): ORIENTE M ESPOSO M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 08/16/2006
Last Update Date: 05/28/2015
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
901 OLIVE DR
BAKERSFIELD CA
93308-6170
US
IV. Provider business mailing address
4208 ROSEDALE HWY SUITE 302-337
BAKERSFIELD CA
93308-6170
US
V. Phone/Fax
- Phone: 661-843-7841
- Fax: 661-864-7943
- Phone: 661-843-7841
- Fax: 661-864-7943
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 174400000X |
| Taxonomy | Specialist |
| License Number | A42316 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: