Healthcare Provider Details

I. General information

NPI: 1467262642
Provider Name (Legal Business Name): MR. DANIEL ESPINOZA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/10/2025
Last Update Date: 01/10/2025
Certification Date: 01/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2301 ANDRADE AVE APT 238
CALEXICO CA
92231-3995
US

IV. Provider business mailing address

2301 ANDRADE AVE APT 238
CALEXICO CA
92231-3995
US

V. Phone/Fax

Practice location:
  • Phone: 760-672-9385
  • Fax:
Mailing address:
  • Phone: 760-672-9385
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: