Healthcare Provider Details

I. General information

NPI: 1073166872
Provider Name (Legal Business Name): VERNA ESPERO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2019
Last Update Date: 12/02/2025
Certification Date: 12/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3605 VISTA WAY STE 258
OCEANSIDE CA
92056-4565
US

IV. Provider business mailing address

3605 VISTA WAY STE 258
OCEANSIDE CA
92056-4565
US

V. Phone/Fax

Practice location:
  • Phone: 760-758-1480
  • Fax:
Mailing address:
  • Phone: 760-758-1480
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number128203
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: