Healthcare Provider Details

I. General information

NPI: 1255241576
Provider Name (Legal Business Name): MARIA CLARISSA NOCHE ESMENDE NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2410 W CLEVELAND AVE
MONTEBELLO CA
90640-3055
US

IV. Provider business mailing address

2410 W CLEVELAND AVE
MONTEBELLO CA
90640-3055
US

V. Phone/Fax

Practice location:
  • Phone: 562-319-5965
  • Fax:
Mailing address:
  • Phone: 562-319-5965
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License Number95182999
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: