Healthcare Provider Details

I. General information

NPI: 1811228125
Provider Name (Legal Business Name): ANALUISA ESPINOZA LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/26/2010
Last Update Date: 01/26/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

359 E EDGEWARE RD
LOS ANGELES CA
90026-5669
US

IV. Provider business mailing address

359 E EDGEWARE RD
LOS ANGELES CA
90026-5669
US

V. Phone/Fax

Practice location:
  • Phone: 213-482-1487
  • Fax: 213-481-2097
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCS9000
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: