Healthcare Provider Details

I. General information

NPI: 1487559712
Provider Name (Legal Business Name): PATRICK BUENAFLOR ESPIRITU
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/08/2026
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1812 VERDUGO BLVD
GLENDALE CA
91208-1407
US

IV. Provider business mailing address

8007 IRVINE AVE
NORTH HOLLYWOOD CA
91605-1606
US

V. Phone/Fax

Practice location:
  • Phone: 818-790-7100
  • Fax:
Mailing address:
  • Phone: 818-585-0937
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number1033716147
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: