Healthcare Provider Details

I. General information

NPI: 1659226249
Provider Name (Legal Business Name): IRENE MONIQUE ESPINOZA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/28/2026
Last Update Date: 02/28/2026
Certification Date: 02/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9200 VALLEY VIEW ST
CYPRESS CA
90630-5897
US

IV. Provider business mailing address

17956 SUN HILL DR
YORBA LINDA CA
92886-5112
US

V. Phone/Fax

Practice location:
  • Phone: 714-484-7381
  • Fax:
Mailing address:
  • Phone: 805-868-6050
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: