Healthcare Provider Details

I. General information

NPI: 1336707496
Provider Name (Legal Business Name): ALDO DAVID ESPINOZA NP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/04/2019
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12470 W WASHINGTON BLVD
LOS ANGELES CA
90066-5512
US

IV. Provider business mailing address

9250 RESEDA BLVD STE 16 PMB 1016
NORTHRIDGE CA
91324
US

V. Phone/Fax

Practice location:
  • Phone: 818-814-9116
  • Fax:
Mailing address:
  • Phone: 818-814-9116
  • Fax: 818-337-1459

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberNPF95011510
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: