Healthcare Provider Details

I. General information

NPI: 1013804160
Provider Name (Legal Business Name): LUIS ARMANDO ESPANA JR. ACSW
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/20/2025
Last Update Date: 06/20/2025
Certification Date: 06/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

351 E TEMPLE ST
LOS ANGELES CA
90012-3328
US

IV. Provider business mailing address

PO BOX 1377
ALHAMBRA CA
91802-1377
US

V. Phone/Fax

Practice location:
  • Phone: 213-440-8713
  • Fax:
Mailing address:
  • Phone: 213-440-8713
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number111310
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: