Healthcare Provider Details

I. General information

NPI: 1639825482
Provider Name (Legal Business Name): DISPATCH NP, A PROFESSIONAL NURSING CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/01/2022
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
NORTHRIDGE CA
91324-5213
US

V. Phone/Fax

Practice location:
  • Phone: 818-814-9116
  • Fax: 818-337-1459
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 Number
License Number StateNULL

VIII. Authorized Official

Name: MR. ALDO DAVID ESPINOZA
Title or Position: NP
Credential: NURSE PRACTITIONER
Phone: 818-814-9116