Healthcare Provider Details

I. General information

NPI: 1700798535
Provider Name (Legal Business Name): MAXINE ESPALIN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/17/2026
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11356 LEFFINGWELL RD
NORWALK CA
90650-3695
US

IV. Provider business mailing address

5021 LA LUNA DR
LA PALMA CA
90623-2002
US

V. Phone/Fax

Practice location:
  • Phone: 562-210-3830
  • Fax:
Mailing address:
  • Phone: 657-239-5119
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: