Healthcare Provider Details

I. General information

NPI: 1497083414
Provider Name (Legal Business Name): JUAN ESQUIBEL
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/02/2009
Last Update Date: 12/02/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13001 RAMONA BLVD
IRWINDALE CA
91706-3752
US

IV. Provider business mailing address

736 VENTURA ST
ALTADENA CA
91001-4967
US

V. Phone/Fax

Practice location:
  • Phone: 626-848-1490
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: