Healthcare Provider Details

I. General information

NPI: 1508593666
Provider Name (Legal Business Name): ISABEL ESPARZA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ISABEL ESPARZA

II. Dates (important events)

Enumeration Date: 08/08/2022
Last Update Date: 05/30/2024
Certification Date: 05/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2121 W TEMPLE ST
LOS ANGELES CA
90026-4915
US

IV. Provider business mailing address

10155 COLIMA RD
WHITTIER CA
90603-2042
US

V. Phone/Fax

Practice location:
  • Phone: 213-385-5100
  • Fax:
Mailing address:
  • Phone: 562-692-0383
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberASW122869
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: