Healthcare Provider Details

I. General information

NPI: 1700495413
Provider Name (Legal Business Name): SARAH ESPINOZA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/28/2020
Last Update Date: 07/26/2025
Certification Date: 07/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

265 S ANITA DR STE 102-104
ORANGE CA
92868-3355
US

IV. Provider business mailing address

18423 LA GUARDIA ST
ROWLAND HEIGHTS CA
91748-4537
US

V. Phone/Fax

Practice location:
  • Phone: 714-410-3500
  • Fax: 714-410-3527
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number125534
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number103649
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: