Healthcare Provider Details

I. General information

NPI: 1225671340
Provider Name (Legal Business Name): LUIS ESPINOZA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/21/2019
Last Update Date: 12/03/2025
Certification Date: 12/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7300 LANKERSHIM BLVD
NORTH HOLLYWOOD CA
91605-3835
US

IV. Provider business mailing address

7300 LANKERSHIM BLVD
NORTH HOLLYWOOD CA
91605-3835
US

V. Phone/Fax

Practice location:
  • Phone: 818-752-7512
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225500000X
TaxonomyRespiratory/Developmental/Rehabilitative Specialist/Technologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: