Healthcare Provider Details

I. General information

NPI: 1477687051
Provider Name (Legal Business Name): CHRIS ESGUERRA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/15/2007
Last Update Date: 01/18/2022
Certification Date: 01/18/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

746 S LOS ROBLES AVE
PASADENA CA
91106-3741
US

IV. Provider business mailing address

746 S LOS ROBLES AVE
PASADENA CA
91106-3741
US

V. Phone/Fax

Practice location:
  • Phone: 650-863-4403
  • Fax:
Mailing address:
  • Phone: 650-863-4403
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberA96869
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: