Healthcare Provider Details

I. General information

NPI: 1104721133
Provider Name (Legal Business Name): ISMAEL ESPINOZA GARCIA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/09/2026
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 GARDEN RD STE 280
MONTEREY CA
93940-5374
US

IV. Provider business mailing address

311 MAIN ST PMB 547
WATSONVILLE CA
95076
US

V. Phone/Fax

Practice location:
  • Phone: 831-223-4949
  • Fax:
Mailing address:
  • Phone: 831-348-4735
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: