Healthcare Provider Details

I. General information

NPI: 1932540515
Provider Name (Legal Business Name): CHRISTINA PATTY ESPINOZA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/11/2013
Last Update Date: 01/13/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3671 BUSINESS DR STE 100
SACRAMENTO CA
95820-2165
US

IV. Provider business mailing address

2852 SYMPHONY CT
SACRAMENTO CA
95826-3149
US

V. Phone/Fax

Practice location:
  • Phone: 916-730-3238
  • Fax:
Mailing address:
  • Phone: 916-386-1337
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: