Healthcare Provider Details

I. General information

NPI: 1063390326
Provider Name (Legal Business Name): JORGE ALBERTO ESPINDOLA DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/25/2025
Last Update Date: 08/25/2025
Certification Date: 08/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

717 WALNUT DR
PASO ROBLES CA
93446-2315
US

IV. Provider business mailing address

10259 FOOTHILL BLVD
SYLMAR CA
91342-7018
US

V. Phone/Fax

Practice location:
  • Phone: 805-238-5334
  • Fax:
Mailing address:
  • Phone: 818-554-3293
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number112281
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: