Healthcare Provider Details

I. General information

NPI: 1669839718
Provider Name (Legal Business Name): MS. AMY ESPINO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/20/2016
Last Update Date: 06/09/2025
Certification Date: 06/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 E 15TH ST STE A
MERCED CA
95341-6217
US

IV. Provider business mailing address

3350 M ST APT 43
MERCED CA
95348-2726
US

V. Phone/Fax

Practice location:
  • Phone: 209-381-6800
  • Fax: 209-725-3811
Mailing address:
  • Phone: 209-917-0337
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: