Healthcare Provider Details

I. General information

NPI: 1447166590
Provider Name (Legal Business Name): SAYIAN BAYANGOS ESPIQUE
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

633 E 1ST ST APT 21
LONG BEACH CA
90802-5104
US

IV. Provider business mailing address

633 E 1ST ST APT 21
LONG BEACH CA
90802-5104
US

V. Phone/Fax

Practice location:
  • Phone: 714-758-5482
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number95040997
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: