Healthcare Provider Details

I. General information

NPI: 1164218038
Provider Name (Legal Business Name): MARK ESPERTI
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/17/2025
Last Update Date: 04/17/2025
Certification Date: 04/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 E TAHQUITZ CANYON WAY STE A201
PALM SPRINGS CA
92262-6762
US

IV. Provider business mailing address

301 N PALM CANYON DR STE 103-134
PALM SPRINGS CA
92262-5672
US

V. Phone/Fax

Practice location:
  • Phone: 760-206-8017
  • Fax:
Mailing address:
  • Phone: 760-206-8017
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: