Healthcare Provider Details

I. General information

NPI: 1376464610
Provider Name (Legal Business Name): NATALIE ESPINOZA, RDHAP, PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15982 PARKHOUSE DR UNIT 1
FONTANA CA
92336-6156
US

IV. Provider business mailing address

15982 PARKHOUSE DR
FONTANA CA
92336-6156
US

V. Phone/Fax

Practice location:
  • Phone: 909-310-8684
  • Fax:
Mailing address:
  • Phone: 909-310-8684
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code124Q00000X
TaxonomyDental Hygienist
License Number
License Number State

VIII. Authorized Official

Name: NATALIE ESPINOZA
Title or Position: PRESIDENT
Credential: RDHAP
Phone: 760-887-2401