Healthcare Provider Details

I. General information

NPI: 1689377228
Provider Name (Legal Business Name): ABBEY ESBENSON DPM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/23/2023
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

41990 COOK ST STE 1004
PALM DESERT CA
92211-6105
US

IV. Provider business mailing address

76944 CALIFORNIA DR
PALM DESERT CA
92211-7757
US

V. Phone/Fax

Practice location:
  • Phone: 760-565-5545
  • Fax: 760-434-5578
Mailing address:
  • Phone: 303-919-8490
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberE6246
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: